Individual provider Active NPI

Constantine Kyramarios

  • Podiatrist
  • Chesterfield, MO
National Provider Identifier
1033124888
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2005012033 Issued in MO
Practice address
1726 Clarkson Rd
Chesterfield, MO 63017-4976
Phone
(636) 777-4500
NPI assigned
Jul 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 2005012033 MO Primary

Addresses

Primary practice location

1726 Clarkson Rd
Chesterfield, MO 63017-4976

Mailing address

1726 Clarkson Rd
Chesterfield, MO 63017-4976
Phone (636) 777-4500

Other identifiers 1

IdentifierTypeStateIssuer
1033124888OtherMONPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20050629000012 MO Practitioner - Podiatry 5193761369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Chicago College of Medicine and Surgery, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1726 Clarkson Rd
Chesterfield, MO 63017-4976
Phone (636) 777-4500

203 Salt Lick Rd
Saint Peters, MO 63376-5974
Phone (636) 279-1900

8534 Eager Rd
Saint Louis, MO 63144-1435
Phone (314) 785-0692

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.73 of 100Reported as group
Quality
74.05
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue138
Removal of skin lesions172
Removal of nail tissue806
Removal or shaving of skin growth383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2005012033MOMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Healers Holdings - St. Louis, LLC Podiatrist CurrentSince Aug 1, 2005 Accepting new patients
Foot Healers Holdings - St. Louis, LLC Podiatrist CurrentSince Aug 1, 2005 Accepting new patients

Locations

1726 Clarkson Rd
Chesterfield, MO 63017
Phone (636) 777-4500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2451/brand/1/csg/1/fhir/r4
  • Direct secure messaging: constantine.kyramarios.1@2451.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398211200000",
    "number": "1033124888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 CLARKSON RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174976",
            "telephone_number": "636-777-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 CLARKSON RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174976",
            "telephone_number": "636-777-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYRAMARIOS",
        "first_name": "CONSTANTINE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2014-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MO",
            "license": "2005012033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1033124888",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.