Paul J Ciavarelli Jr., MD

Primary specialty

PodiatristTaxonomy code 213E00000X

License

179 Issued in AL

Practice address

2304 Gateway Dr Ste B
Opelika, AL 36801-7273

Phone

(334) 741-7600

Fax

(847) 241-7600

NPI assigned

Aug 13, 2006

Last updated

Feb 27, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Podiatry

Education

Other, 1996

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/703ad69f-3b2b-4332-b74a-2a8a2b8cfcf4/

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.

• Alabama Foot Care Center, PC

  • Podiatrist
  • Opelika, AL
  • NPI 1750442521
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1255344347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 GATEWAY DR STE B",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368017273",
            "telephone_number": "334-741-7600",
            "fax_number": "801-383-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 GATEWAY DR STE B",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368017273",
            "telephone_number": "334-741-7600",
            "fax_number": "847-241-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIAVARELLI",
        "first_name": "PAUL",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AL",
            "license": "179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51536299",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51536300",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51038839",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51536298",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Mphatso Chirambo
• Krishna Kishore Chivukula, M.D.
• Maximilian Sungho Choo
• Karl Christensen
• Allison Chua, LPC
• City of Opelika
• Leigh Anne Clark, L.M.T.
• Renee Marie Clark, MASTER SOCIAL WORKER
• Jacquelyn Rupley Clarkson, DO
• Joshua Clason, DO

• Podiatrist in Opelika, AL
• Providers in Opelika, AL by specialty
• Podiatrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.

Verify at the official NPI Registry.