Active NPI
Georgios P Poniros, DPM
- Podiatrist
- Auburn, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 2167
- Practice address
- 48 Auburn St
Auburn Podiatry LLP
Auburn, MA 01501 - Phone
- (508) 832-6075
- Fax
- (508) 832-9964
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- No
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.
-
- General Acute Care Hospital
- Southbridge, MA
- NPI 1790780047
MA
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Southbridge, MA
- NPI 1790780047
Hospital
-
- General Acute Care Hospital
- Leominster, MA
- NPI 1013995133
Hospital
-
- Psychiatric Hospital Unit
- Clinton, MA
- NPI 1285171934
Hospital
-
- General Acute Care Hospital
- Worcester, MA
- NPI 1538131214
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
492 Washington St
Auburn, MA 01501-5708
Phone (508) 832-6075
Hospital & facility affiliations
- Umass Memorial Healthalliance Hospitals
- Umass Memorial Health - Harrington Hospital
- St Vincent Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 134 |
| Removal of skin lesions | 95 |
| Removal of nail tissue | 200 |
| Removal or shaving of skin growth | 43 |
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050105000696 | MA | Practitioner - Podiatry | 5597723866 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2167 | MA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umass Memorial Health-Harrington Hospital Inc | Current | Accepting new patients | |
| Auburn Podiatry LLP | Podiatrist | Current | Accepting new patients |
Locations
492 Washington St
Ste 4
Auburn, MA 01501
Phone (774) 772-5161
492 Washington St
Auburn, MA 01501
Phone (508) 832-2171
48 Auburn St
Auburn, MA 01501
Phone (508) 832-9392
48 Auburn St
#A
Auburn, MA 01501
Phone (508) 832-6075
10 N Main St
Charlton, MA 01507
Phone (508) 248-3015
100 South St
Southbridge, MA 01550
Phone (508) 764-8012
336 Thompson Rd
Webster, MA 01570
Phone (508) 943-0382
Interoperability endpoints
- poniros.georgios.001.0210003@abp.meditab.direct-ci.com
- poniros.georgios.002.0210003@abp.meditab.direct-ci.com
- poniros.georgios.003.0210003@abp.meditab.direct-ci.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 2167 | MA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
48 Auburn St
Auburn Podiatry LLP
Auburn, MA 01501
Mailing address
492 Washington St
Ste 4
Auburn, MA 01501-5708
Phone (508) 832-6075
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0326861 | Medicaid | MA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 4, 2020.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580774400000",
"number": "1083671077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "492 WASHINGTON ST",
"address_2": "STE 4",
"city": "AUBURN",
"state": "MA",
"postal_code": "015015708",
"telephone_number": "508-832-6075",
"fax_number": "508-832-9964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 AUBURN ST",
"address_2": "AUBURN PODIATRY LLP",
"city": "AUBURN",
"state": "MA",
"postal_code": "01501",
"telephone_number": "508-832-6075",
"fax_number": "508-832-9964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PONIROS",
"first_name": "GEORGIOS",
"middle_name": "P",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2020-02-04",
"certification_date": "2020-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MA",
"license": "2167",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0326861",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.