Individual provider Active NPI

Georgios P Poniros, DPM

  • Podiatrist
  • Auburn, MA
National Provider Identifier
1083671077
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2167 Issued in MA
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.

Hospital & facility affiliations 4

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

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 Hospital, Leominster, MA, CCN 220001
  • Umass Memorial Health - Harrington Hospital Hospital, Southbridge, MA, CCN 220019
  • St Vincent Hospital Hospital, Worcester, MA, CCN 220176

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue134
Removal of skin lesions95
Removal of nail tissue200
Removal or shaving of skin growth43

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20050105000696 MA Practitioner - Podiatry 5597723866 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2167MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Umass Memorial Health-Harrington Hospital Inc CurrentSince Apr 26, 2012 Accepting new patients
Auburn Podiatry LLP Podiatrist CurrentSince Jan 3, 2005 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

  • Direct secure messaging: poniros.georgios.001.0210003@abp.meditab.direct-ci.com
  • Direct secure messaging: poniros.georgios.002.0210003@abp.meditab.direct-ci.com
  • Direct secure messaging: poniros.georgios.003.0210003@abp.meditab.direct-ci.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 2167 MA Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
0326861MedicaidMA

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

Verify at the official NPI Registry.