Individual provider Active NPI

Kristyn Pistone, DPM

  • Podiatrist
  • Haverhill, MA
National Provider Identifier
1689612962
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2160 Issued in MA
Practice address
62 Brown Street
Suite 201
Haverhill, MA 01830
Phone
(978) 556-9750
Fax
(978) 521-8381
NPI assigned
Jun 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 2160 MA Primary

Addresses

Primary practice location

62 Brown Street
Suite 201
Haverhill, MA 01830

Mailing address

PO Box 5326
Bradford, MA 01835-0326
Phone (978) 556-9750

Other identifiers 5

IdentifierTypeStateIssuer
0326721MedicaidMA
405882OtherMATUFTS HEALTH PLAN
Y71081OtherMABLLUE CROSS/BLUE SHIELD
333480OtherMAHARVARD PILGRIM HELATHCAR
0024366OtherMANEIGHBOORHOOD HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20041109000062 MA Practitioner - Podiatry 2163485319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

471 S Main St
Bradford, MA 01835-7247

471 S Main St
Apt 1
Bradford, MA 01835-7580
Phone (978) 556-9750

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue110
Removal or shaving of skin growth28
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2160MAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Vincent Radiological Associates Inc PastSince Jan 1, 2016 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1689612962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5326",
            "city": "BRADFORD",
            "state": "MA",
            "postal_code": "018350326",
            "telephone_number": "978-556-9750",
            "fax_number": "978-521-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 BROWN STREET",
            "address_2": "SUITE 201",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "01830",
            "telephone_number": "978-556-9750",
            "fax_number": "978-521-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISTONE",
        "first_name": "KRISTYN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "2160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0326721",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "405882",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLLUE CROSS/BLUE SHIELD",
            "identifier": "Y71081",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HELATHCAR",
            "identifier": "333480",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBOORHOOD HEALTH PLAN",
            "identifier": "0024366",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverhill, MA

Sources for this page

Verify at the official NPI Registry.