Active NPI
Christopher H. Peteros, D.P.M.
- Podiatrist
- Longmeadow, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1972
- Practice address
- 1200 Converse St
Longmeadow, MA 01106-1760 - Phone
- (413) 567-6860
- Fax
- (413) 567-1491
- NPI assigned
- Dec 30, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 1972 | MA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 000578 | CT | |
| Podiatrist | 213E00000X | 1972 | MA | Primary |
Addresses
Primary practice location
1200 Converse St
Longmeadow, MA 01106-1760
Mailing address
1200 Converse St
Longmeadow, MA 01106-1760
Phone (413) 567-6860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1200 Converse St
Suite 103
Longmeadow, MA 01106-1760
Phone (413) 567-6860
148 Hazard Ave
Enfield, CT 06082-4520
Phone (413) 567-6860
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.15 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 98 |
| Removal of skin lesions | 35 |
| Removal of nail tissue | 341 |
| Removal or shaving of skin growth | 150 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000578 | CT | MD | Foot & Ankle Surgery Podiatrist |
| 1972 | MA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christopher H. Peteros, DPM | Current | Accepting new patients | |
| Christopher H. Peteros, DPM, LLC | Podiatrist | Current | Accepting new patients |
Locations
148 Hazard Ave
Enfield, CT 06082
Phone (413) 567-6860
1200 Converse St
Ste 103
Longmeadow, MA 01106
Phone (413) 567-6860
1200 Converse St
Longmeadow, MA 01106
Phone (413) 567-4200
Interoperability endpoints
- cpeteros2390159@direct.trinity-health.org
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.
-
- Durable Medical Equipment & Medical Supplies
- Longmeadow, MA
- NPI 1679811962
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 1043204316
-
- Rehabilitation Hospital Unit
- Springfield, MA
- NPI 1750360798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214438400000",
"number": "1427035351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CONVERSE ST",
"city": "LONGMEADOW",
"state": "MA",
"postal_code": "011061760",
"telephone_number": "413-567-6860",
"fax_number": "413-567-1491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 CONVERSE ST",
"city": "LONGMEADOW",
"state": "MA",
"postal_code": "011061760",
"telephone_number": "413-567-6860",
"fax_number": "413-567-1491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETEROS",
"first_name": "CHRISTOPHER",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-30",
"last_updated": "2008-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MA",
"license": "1972",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CT",
"license": "000578",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MA",
"license": "1972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longmeadow, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.