Active NPI
Cynthia M Galavotti, D.P.M.
- Podiatrist
- Hampden, MA
National Provider Identifier
1003981291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 2189
- Practice address
- 594 Glendale Rd
Hampden, MA 01036-9107 - Phone
- (413) 566-3255
- NPI assigned
- Nov 22, 2006
- Last updated
- Jul 7, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 2189 | MA | Primary |
Addresses
Primary practice location
594 Glendale Rd
Hampden, MA 01036-9107
Mailing address
594 Glendale Rd
Hampden, MA 01036-9107
Phone (413) 566-3255
Other names 1
- Cynthia M Stark
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060410000319 | MA | Practitioner - Podiatry | 0749299329 | Practice locations: Longmeadow, MA; Springfield, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1400 State St
Springfield, MA 01109-2550
Phone (413) 787-6700
594 Glendale Rd
Hampden, MA 01036-9107
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 232 |
| Removal or shaving of skin growth | 31 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2189 | MA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christopher H. Peteros, DPM | Past | Accepting new patients | |
| Western Massachusetts Podiatry Associates, P.C. | Podiatrist | Past | Accepting new patients |
| Christopher H. Peteros, DPM, LLC | Podiatrist | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Durable Medical Equipment & Medical Supplies
- Longmeadow, MA
- NPI 1679811962
-
- Podiatrist
- Longmeadow, MA
- NPI 1942794656
-
- Podiatrist
- East Longmeadow, MA
- NPI 1801884721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215388800000",
"number": "1003981291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "594 GLENDALE RD",
"city": "HAMPDEN",
"state": "MA",
"postal_code": "010369107",
"telephone_number": "413-566-3255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "594 GLENDALE RD",
"city": "HAMPDEN",
"state": "MA",
"postal_code": "010369107",
"telephone_number": "413-566-3255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALAVOTTI",
"first_name": "CYNTHIA",
"middle_name": "M",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-22",
"last_updated": "2008-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MA",
"license": "2189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CYNTHIA",
"last_name": "STARK",
"middle_name": "M",
"credential": "D.P.M.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hampden, MA
- Andrea L Bailey, LMHC
- Joseph P Costanzo, EDD
- D. Lawrence Counseling, LLC
- Jessica Lee Dagenais, LMHC
- Cynthia L Forte, RN,LMT
- Kamilla Gamidova
- Valerie Gonzalez
- Hampden Health and Rehabilitation Center LLC (Pine Mountain Rehabilitation and Nursing Center)
- Judy Hatch, R.N., M.S.N, IBCLC
- John Raleigh Hennessy, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.