Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dominic John Roda, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1407144264

Dominic John Roda, DPM is a Podiatry in Smithfield, Rhode Island. Graduated from New York College of Podiatric Medicine in 2011, 15 years ago. Practices with Prospect Chartercare Sjhsri LLC, a 32-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
15
Trained at
New York College of Podiatric Medicine
Licensed in
RI
In the registry since
2011
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

41 Sanderson Rd Ste 207
Smithfield, RI 02917-2602
Phone: (401) 949-3220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence DPM00342 (RI)

Record details

NPI number1407144264
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJuly 14, 2011
Last updated in NPPESDecember 17, 2018
Mailing address33 Symonds Ave, Warwick, RI 02889-3517

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolNEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated 2011 (15 years in practice)
Group practice Prospect Chartercare Sjhsri Llc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Smithfield