Individual provider Active NPI

Khristine A Sparta, DPM

  • Foot & Ankle Surgery Podiatrist
  • North Haven, CT
National Provider Identifier
1700038858
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
878 Issued in CT
Practice address
83 Washington Ave
North Haven, CT 06473-1704
Phone
(203) 787-3800
Fax
(203) 787-0004
NPI assigned
Oct 21, 2008
Last updated
Jan 17, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 878 CT Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00307100 NJ

Addresses

Primary practice location

83 Washington Ave
North Haven, CT 06473-1704

Mailing address

1881 Post Rd
Fairfield, CT 06824-5721
Phone (908) 337-1969

Other identifiers 3

IdentifierTypeStateIssuer
25MD00307100OtherNJNJ LICENCE
1700985835OtherCTASSOCIATED PODIATRISTS OF FAIRFIELD, LLC GROUP NPI
1295850204OtherCTASSOCIATED PODIATRISTS OF NORTH HAVEN, LLC GROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20120530000065 CT Practitioner - Podiatry 8224291372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Podiatrist of Fairfield LLCGroup PAC ID 7618061052, 7 clinicians

Practice addresses (Care Compare)

1881 Post Rd
Fairfield, CT 06824-5721
Phone (203) 255-1036

Merit-based Incentive Payment System (MIPS)

Final score
97.5 of 100Reported as individual
Quality
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions25
Removal of nail tissue966
Removal or shaving of skin growth496
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
878CTMDClinical Psychologist
25MD00307100NJMDFoot & Ankle Surgery Podiatrist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1700038858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 POST RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245721",
            "telephone_number": "908-337-1969",
            "fax_number": "203-259-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 WASHINGTON AVE",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064731704",
            "telephone_number": "203-787-3800",
            "fax_number": "203-787-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARTA",
        "first_name": "KHRISTINE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CT",
            "license": "878",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00307100",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ LICENCE",
            "identifier": "25MD00307100",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSOCIATED PODIATRISTS OF FAIRFIELD, LLC GROUP NPI",
            "identifier": "1700985835",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSOCIATED PODIATRISTS OF NORTH HAVEN, LLC GROUP NPI",
            "identifier": "1295850204",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haven, CT

Sources for this page

Verify at the official NPI Registry.