Active NPI
Jayant G. Chivate, M.D.
- Surgery Physician
- Sayre, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD417341
- Practice address
- 1 Guthrie SQ
Sayre, PA 18840-1625 - Phone
- (570) 887-6724
- Fax
- (570) 887-6728
- NPI assigned
- Feb 13, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 219730-1 | NY | |
| Surgery Physician | 208600000X | MD417341 | PA | Primary |
Addresses
Primary practice location
1 Guthrie SQ
Sayre, PA 18840-1625
Mailing address
1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 670372 | Medicaid | AZ | |
| CC9269 | Other | PA | RR MEDICARE GROUP |
| 020050347 | Other | PA | RR MEDICARE PIN |
| 02131395 | Medicaid | NY | |
| GU039890 | Other | PA | MEDICARE GROUP |
| 0018603750001 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jchivate7799@direct-guthrie.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140310000731 | PA | Practitioner - General Surgery | 3870752348 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Guthrie Medical Group PC
Practice addresses (Care Compare)
1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858
317 W Lockhart St
Surgery
Sayre, PA 18840-1618
Phone (570) 887-3920
One Guthrie SQ
Sayre, PA 18840-1625
One Guthrie Square
Sayre, PA 18840-1625
Hospital & facility affiliations
- Robert Packer Hospital
- Robert Packer Hospital Skilled Care and Rehabilit
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 875 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 219730-1 | NY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guthrie Medical Group, P.C. | Family Medicine | Current | Accepting new patients |
| Guthrie Medical Group, P.C. | Family Medicine | Current | Accepting new patients |
| Guthrie Medical Group, P.C. | Surgery | Current | Accepting new patients |
| Guthrie Medical Group PC | Past | Accepting new patients |
Locations
130 Center Way
Corning, NY 14830
Phone (607) 936-9971
1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106
317 W Lockhart St
Sayre, PA 18840
Phone (570) 887-3920
132 Colonial Dr
Towanda, PA 18848
Phone (570) 265-6165
285 Guthrie Dr
Troy, PA 16947
Phone (570) 297-4104
Interoperability endpoints
- jchivate7799@direct-guthrie.org
Organizations & group practices 6
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.
-
- Clinical Medical Laboratory
- Sayre, PA
- NPI 1649225855
-
- Multi-Specialty Clinic/Center
- Corning, NY
- NPI 1134178635
-
- Durable Medical Equipment & Medical Supplies
- Waverly, NY
- NPI 1578755682
Hospital & facility affiliations 3
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": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615161600000",
"number": "1730153255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GUTHRIE SQ",
"city": "SAYRE",
"state": "PA",
"postal_code": "188401625",
"telephone_number": "570-888-5858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GUTHRIE SQ",
"city": "SAYRE",
"state": "PA",
"postal_code": "188401625",
"telephone_number": "570-887-6724",
"fax_number": "570-887-6728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIVATE",
"first_name": "JAYANT",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-13",
"last_updated": "2021-03-08",
"certification_date": "2021-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "219730-1",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD417341",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "670372",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP",
"identifier": "CC9269",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN",
"identifier": "020050347",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02131395",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "GU039890",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018603750001",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jchivate7799@direct-guthrie.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1 Guthrie Sq",
"city": "Sayre",
"state": "PA",
"country_code": "US",
"postal_code": "188401625",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sayre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.