Active NPI
Nikolay Gatalyak, D.P.M.
- Podiatrist
- Canton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 36003582
- Practice address
- 3731 Whipple Ave NW
Canton, OH 44718-2933 - Phone
- (330) 493-3363
- NPI assigned
- Jul 29, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 36003582 | OH | Primary |
Addresses
Primary practice location
3731 Whipple Ave NW
Canton, OH 44718-2933
Mailing address
3731 Whipple Ave NW
Canton, OH 44718-2933
Phone (330) 493-3363
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0052012 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
125 Canton Rd NW
Carrollton, OH 44615-1009
Phone (330) 627-7676
Hospital & facility affiliations
- Mercy Medical Center
- Aultman Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 174 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 740 |
| Removal or shaving of skin growth | 318 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36003582 | OH | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ankle and Foot Centers of Ohio LLC | Podiatrist | Current | Accepting new patients |
| Ankle and Foot Centers of Ohio LLC | Podiatrist | Current | Accepting new patients |
Locations
3731 Whipple Ave NW
Canton, OH 44718
Phone (330) 493-4945
125 Canton Rd NW
Carrollton, OH 44615
Phone (330) 627-7300
Interoperability endpoints
- https://api.platform.athenahealth.com/18623/brand/1/csg/1/fhir/r4
- nikolay.gatalyak.1@18623.direct.athenahealth.com
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.
-
- Podiatrist
- Canton, OH
- NPI 1730534918
-
- Podiatrist
- Stow, OH
- NPI 1679023006
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Canton, OH
- NPI 1356366991
-
- General Acute Care Hospital
- Canton, OH
- NPI 1366433195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468368000000",
"number": "1508022666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3731 WHIPPLE AVE NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447182933",
"telephone_number": "330-493-3363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3731 WHIPPLE AVE NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447182933",
"telephone_number": "330-493-3363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATALYAK",
"first_name": "NIKOLAY",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-29",
"last_updated": "2016-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "OH",
"license": "36003582",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0052012",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.