Individual provider Active NPI

Catherine Chiodo, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Newark, OH
National Provider Identifier
1063580199
Registry record updated Sep 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2643 Issued in OH
Practice address
1272 W Main St
Building #4
Newark, OH 43055-2004
Phone
(740) 345-8800
Fax
(740) 344-5829
NPI assigned
Nov 30, 2006
Last updated
Sep 23, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 2643 OH Primary

Addresses

Primary practice location

1272 W Main St
Building #4
Newark, OH 43055-2004

Mailing address

1272 W Main St
Building #4
Newark, OH 43055-2004
Phone (740) 345-8800

Other identifiers 1

IdentifierTypeStateIssuer
0794305MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20120227000810 OH Practitioner - Podiatry 7012175714 Reassigns benefits to 1 organization
Practice locations: Newark, OH

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

120 McMillen Dr
Newark, OH 43055-1809
Phone (220) 564-4806

1272 W Main St
Newark, OH 43055-2055

1320 W Main St
Newark, OH 43055-1822

2000 Tamarack Rd
Newark, OH 43055-1183
Phone (220) 564-4650

36 McMillen Dr
Newark, OH 43055-1809
Phone (220) 564-4270

88 McMillen Dr
Newark, OH 43055-1809
Phone (220) 564-4270

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
85.98 of 100Reported as group
Quality
75.66
Promoting interoperability
100
Improvement activities
40
Cost
75.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue135
Removal of skin lesions11
Removal of nail tissue670
Removal or shaving of skin growth44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2643OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Licking Memorial Health Professionals Current Accepting new patients
Licking Memorial Professional Corporation CurrentSince Nov 10, 2015 Accepting new patients
Licking Memorial Professional Corporation CurrentSince Nov 10, 2015 Accepting new patients
Licking Memorial Professional Corp. Past Accepting new patients

Locations

120 McMillen Dr
Newark, OH 43055
Phone (220) 564-4806

1272 W Main St
Ste 203
Newark, OH 43055
Phone (220) 564-1760

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348358400000",
    "number": "1063580199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1272 W MAIN ST",
            "address_2": "BUILDING #4",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430552004",
            "telephone_number": "740-345-8800",
            "fax_number": "740-344-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1272 W MAIN ST",
            "address_2": "BUILDING #4",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430552004",
            "telephone_number": "740-345-8800",
            "fax_number": "740-344-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIODO",
        "first_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2012-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "2643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0794305",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

Verify at the official NPI Registry.