Individual provider Active NPI

Cynthia M Galavotti, D.P.M.

  • Podiatrist
  • Hampden, MA
National Provider Identifier
1003981291
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2189 Issued in MA
Practice address
594 Glendale Rd
Hampden, MA 01036-9107
Phone
(413) 566-3255
NPI assigned
Nov 22, 2006
Last updated
Jul 7, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue232
Removal or shaving of skin growth31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2189MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher H. Peteros, DPM Past Accepting new patients
Western Massachusetts Podiatry Associates, P.C. Podiatrist PastSince Oct 9, 1995 Accepting new patients
Christopher H. Peteros, DPM, LLC Podiatrist PastSince Sep 17, 2018 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.

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

Sources for this page

Verify at the official NPI Registry.