Active NPI
Giorgio Giatsidis, MD,PHD
- Plastic Surgery Physician
- Springfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 1014484
- Practice address
- 2 Medical Center Dr Ste 206
Springfield, MA 01107-1272 - Phone
- (413) 794-5363
- Fax
- (413) 794-4520
- NPI assigned
- Nov 8, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 283297 | MA | |
| Plastic Surgery Physician | 208200000X | 1014484 | MA | Primary |
Addresses
Primary practice location
2 Medical Center Dr Ste 206
Springfield, MA 01107-1272
Mailing address
280 Chestnut St FL 2
Springfield, MA 01199-1001
Phone (413) 794-5700
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 Medical Ctr Dr
Springfield, MA 01107-1270
Phone (413) 794-5363
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 17 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 283297 | MA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baystate Medical Practices, Inc | Current | Accepting new patients |
Locations
280 Chestnut St
Fl 2
Springfield, MA 01199
Phone (413) 788-4385
2 Medical Center Dr
Springfield, MA 01107
Phone (413) 781-5735
2 Medical Center Dr
Ste 206
Springfield, MA 01107
Phone (413) 784-8484
759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
Organizations & group practices 1
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Springfield, MA
- NPI 1548205909
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springfield, MA
- NPI 1487655064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699228800000",
"number": "1073158556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 CHESTNUT ST FL 2",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011991001",
"telephone_number": "413-794-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 MEDICAL CENTER DR STE 206",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071272",
"telephone_number": "413-794-5363",
"fax_number": "413-794-4520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIATSIDIS",
"first_name": "GIORGIO",
"credential": "MD,PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-08",
"last_updated": "2023-11-06",
"certification_date": "2023-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "MA",
"license": "283297",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "MA",
"license": "1014484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.