BLACKSTONE VALLEY FOOT AND ANKLE INC.
NPI 1720482193
Podiatrist - Foot & Ankle Surgery in Pawtucket, RI

Q: What is Blackstone Valley Foot And Ankle Inc.'s specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Active since October 14, 2014

345 ARMISTICE BLVD, PAWTUCKET, RI 02861(401) 725-5576(401) 725-2640 Get Directions Write a Review

NPPES record last updated: April 24, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Blackstone Valley Foot And Ankle Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLACKSTONE VALLEY FOOT AND ANKLE INC. (NPI 1720482193) is a healthcare organization registered as a foot & ankle surgery in Pawtucket, Rhode Island and active in the NPI registry since October 2014. The organization lists Joseph Kevin Domenico, Owner, as its authorized official.

NPPES Registry Identity

NPI1720482193

Entity TypeOrganization

Primary Taxonomy213ES0103X

Legal Business NameBLACKSTONE VALLEY FOOT AND ANKLE INC.

Location Address345 ARMISTICE BLVDPawtucket, RI 02861-2429

Mailing Address345 Armistice BlvdPawtucket, RI 02861-2429 · (401) 725-5576 · Fax (401) 725-2640

Phone(401) 725-5576

Fax(401) 725-2640

Organization SubpartNo

Authorized OfficialJoseph Kevin DomenicoOwner · (401) 725-5576

Enumeration DateOctober 14, 2014

Last NPPES UpdateApril 24, 2017

✔ NPI 1720482193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in RI · DPM00327

345 ARMISTICE BLVD, Pawtucket, RI 02861

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Other Identifiers 2

Medicare NSC7369700001RI

Medicare PINU400131218RI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blackstone Valley Foot And Ankle Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateRhode IslandEnrollment IDO20150803002594DME · Physician - PodiatryDue dateOctober 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Blackstone Valley Foot And Ankle Inc., which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Brad Ciano, DPM

Podiatry

NPI 1194013177

2295 DIAMOND HILL RD UNIT 1
Cumberland, RI 02864

(401) 769-5611

✔ PECOS✔ Accepts Medicare5.5 mi

Joseph Domenico, D.P.M.

Podiatry

NPI 1972780583

249 EDDIE DOWLING HWY
North Smithfield, RI 02896

(401) 769-5611

✔ PECOS✔ Accepts Medicare10 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blackstone Valley Foot And Ankle Inc.'s NPI number?

The NPI number for Blackstone Valley Foot And Ankle Inc. is 1720482193. It was assigned to this organization in the NPPES registry on October 14, 2014.

Where is Blackstone Valley Foot And Ankle Inc. located?

Blackstone Valley Foot And Ankle Inc. is located at 345 Armistice Blvd, Pawtucket, RI 02861. The listed phone number is (401) 725-5576.

What is Blackstone Valley Foot And Ankle Inc.'s specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Blackstone Valley Foot And Ankle Inc. enrolled in Medicare?

Yes. Blackstone Valley Foot And Ankle Inc. is registered in the Medicare PECOS enrollment system.

When is Blackstone Valley Foot And Ankle Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Rhode Island, Physician - Podiatry) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Blackstone Valley Foot And Ankle Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Blackstone Valley Foot And Ankle Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Blackstone Valley Foot And Ankle Inc. was last updated on April 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.