SHERWIN M TUCKER (DPM) – Podiatrist, NPI 1336156124

SHERWIN M TUCKER (DPM) is a healthcare provider. based in Waterbury, Connecticut. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. P00322 (CT). The NPI Number for SHERWIN M TUCKER (DPM) is 1336156124

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
SHERWIN M TUCKER (DPM)
NPI
1336156124
Phone
(203) 757-9200
Address
1389 W MAIN ST
Enumeration Date
2 August 2006
Last Update Date
24 May 2021

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1982 (44 years ago)
PAC ID
9234138702
Group Practice PAC ID
2769417609
Professional Enrollment ID
I20061211000263
Address ID
CT061080000EA94XXXBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

266 PODIATRY in CT

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Provider Addresses for SHERWIN M TUCKER (DPM)

  • 1389, West Main Street, West Side Hill, Waterbury, New Haven County, Connecticut, 06708, United States

    SUITE 222

    WATERBURY, CT 067083104

    Phone: (203) 757-9200

    Fax: (203) 757-3990

    Type: Location

  • 500 ALBANY AVE

    HARTFORD, CT 061202508

    Phone: (860) 249-9625

    Fax: (203) 757-3990

    Type: Location

  • PO BOX 370465

    WEST HARTFORD, CT 061370465

    Phone: (860) 236-6787

    Fax: (860) 371-3300

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-12-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061211000263IPodiatryCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06708)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769417609View full group profile
NameSpecialtyState
-CT
Physician AssistantCT
-CT
Registered Dietitian Or Nutrition ProfessionalCT
Certified Nurse Midwife (Cnm)MA
-CT
P O D I A T R YNY
Physician AssistantCT
Physician AssistantCT
-IL

Reviews

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Frequently asked questions

What NPI should I save for SHERWIN M TUCKER (DPM)?
Save NPI 1336156124 if you need a stable reference for SHERWIN M TUCKER (DPM).
Is SHERWIN M TUCKER (DPM)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize SHERWIN M TUCKER (DPM)'s specialty in plain language?
Clinically, the directory lists SHERWIN M TUCKER (DPM) with Podiatrist. Clinical services aligned with this taxonomy classification.
Where does public data place SHERWIN M TUCKER (DPM)?
The snapshot lists Waterbury, Connecticut for SHERWIN M TUCKER (DPM); download NPPES for the complete set.
What if Waterbury, Connecticut seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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