Blackstone Valley Foot and Ankle Inc.
NPI 1720482193 · Foot & Ankle Surgery Podiatrist · Pawtucket, RI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blackstone Valley Foot and Ankle Inc. is a Foot & Ankle Surgery Podiatrist organization in Pawtucket, RI (NPI 1720482193).
Provider details
- NPI number
- 1720482193
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Joseph Domenico, Owner(401) 725-5576
- License
- DPM00327 (RI)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-10-14
- Last updated
- 2017-04-24
Frequently asked questions
- What is Blackstone Valley Foot and Ankle Inc.'s NPI number?
- Blackstone Valley Foot and Ankle Inc.'s National Provider Identifier (NPI) is 1720482193, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blackstone Valley Foot and Ankle Inc.?
- Blackstone Valley Foot and Ankle Inc. is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Blackstone Valley Foot and Ankle Inc. located?
- Blackstone Valley Foot and Ankle Inc.'s practice location on file with NPPES is 345 Armistice Blvd, Pawtucket, RI 02861-2429.
- What is Blackstone Valley Foot and Ankle Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Blackstone Valley Foot and Ankle Inc. is (401) 725-5576.
- Does Blackstone Valley Foot and Ankle Inc. accept Medicare?
- Blackstone Valley Foot and Ankle Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Blackstone Valley Foot and Ankle Inc.?
- The authorized official listed on Blackstone Valley Foot and Ankle Inc.'s NPPES record is Joseph Domenico, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blackstone Valley Foot and Ankle Inc.'s NPI active?
- Yes — Blackstone Valley Foot and Ankle Inc.'s NPI (1720482193) is active in the NPPES registry as of the last update on 2017-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.