Individual provider Active NPI

Ivan Chavarria-Siles, M.D.

  • Psychiatry Physician
  • Greenfield, MA
National Provider Identifier
1316212780
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
266061 Issued in MA
Practice address
164 High Street
Greenfield, MA 01301-2613
Phone
(413) 773-2595
NPI assigned
Mar 18, 2012
Last updated
Sep 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 281523 NY
Psychiatry Physician 2084P0800X 266061 MA Primary

Addresses

Primary practice location

164 High Street
Greenfield, MA 01301-2613

Mailing address

280 Chestnut Street
2ND FL
Springfield, MA 01199-1001
Phone (413) 794-5700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ivan.chavarria-siles@mountsinai.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160629000396 MA Practitioner - Psychiatry 4789975327 Reassigns benefits to 1 organization
I20190508000368 NY Practitioner - Psychiatry 4789975327 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baystate Medical Practices IncGroup PAC ID 5991602971, 1,350 clinicians

Practice addresses (Care Compare)

164 Main St
Greenfield, MA 01301-3210
Phone (413) 772-0211

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Apr 1, 2019 Accepting new patients
North Shore-Lij Medical PC CurrentSince Jun 7, 2022 Accepting new patients
The Long Island Home CurrentSince Aug 1, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Apr 1, 2019 Accepting new patients
The Long Island Home CurrentSince Aug 1, 2020 Accepting new patients
Baystate Franklin Medical Center Past Accepting new patients
Baystate Franklin Medical Center Past Accepting new patients

Locations

400 Sunrise Hwy
Amityville, NY 11701
Phone (631) 264-4000

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

300 Community Dr
Manhasset, NY 11030

1425 Madison Ave
New York, NY 10029
Phone (212) 824-8150

150 E 42nd St
New York, NY 10017
Phone (212) 661-8139

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 9

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 1

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": "1332028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1316212780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CHESTNUT STREET",
            "address_2": "2ND FL",
            "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": "164 HIGH STREET",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013012613",
            "telephone_number": "413-773-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVARRIA-SILES",
        "first_name": "IVAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-18",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "281523",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "266061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ivan.chavarria-siles@mountsinai.org",
            "affiliation": "N",
            "address_1": "1 Gustave L Levy Pl Dept Of",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100296504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenfield, MA

Sources for this page

Verify at the official NPI Registry.