Individual provider Active NPI

Christopher H. Peteros, D.P.M.

  • Podiatrist
  • Longmeadow, MA
National Provider Identifier
1427035351
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1972 Issued in MA
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

Updated by the provider on Jun 26, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, CT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20060406000261 MA Practitioner - Podiatry 6002825841 Reassigns benefits to 1 organization
Practice locations: Longmeadow, MA
I20230407000948 CT Practitioner - Podiatry 6002825841 Reassigns benefits to 1 organization
O20100930070925 MA DME Supplier - Physician - Podiatry 3971622770 Practice locations: Longmeadow, MA

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 100Reported as individual
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue98
Removal of skin lesions35
Removal of nail tissue341
Removal or shaving of skin growth150

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
000578CTMDFoot & Ankle Surgery Podiatrist
1972MAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher H. Peteros, DPM CurrentSince Jan 1, 1990 Accepting new patients
Christopher H. Peteros, DPM, LLC Podiatrist CurrentSince Sep 17, 2018 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.