Individual provider Active NPI

Christopher Laurent Dziok, PA

  • Physician Assistant
  • Hyannis, MA
National Provider Identifier
1811658263
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
130 North St Ste a
Hyannis, MA 02601-3825
Phone
(508) 775-8282
Fax
(508) 775-8280
NPI assigned
Jan 7, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2142 NH
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X Primary

Addresses

Primary practice location

130 North St Ste a
Hyannis, MA 02601-3825

Mailing address

130 North St Ste a
Hyannis, MA 02601-3825
Phone (508) 775-8282

Other practice location 1

18 Route 6A Bldg 2
Sandwich, MA 02563-5309
Phone (508) 775-8282

Other practice location 2

100 Hitchcock Way
Manchester, NH 03104-4125
Phone (603) 663-5310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220510000584 MA Practitioner - Physician Assistant 0749667988 Reassigns benefits to 1 organization
I20240305001195 NH Practitioner - Physician Assistant 0749667988 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seacoast Orthopedic Assoc IncGroup PAC ID 1557491040, 8 clinicians

Practice addresses (Care Compare)

21 Highland Ave
Suite 16
Newburyport, MA 01950-3873
Phone (978) 462-7555

Hospital & facility affiliations

  • Elara Caring Home health agency, Newburyport, MA, CCN 227503
  • Anna Jaques Hospital Hospital, Newburyport, MA, CCN 220029

Merit-based Incentive Payment System (MIPS)

Final score
92.43 of 100Reported as group
Quality
91.1
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as apm
Quality
53.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as apm
Quality
53.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Hitchcock Memorial Hospital Single Specialty CurrentSince Feb 19, 2024 Accepting new patients
Mary Hitchcock Memorial Hospital Single Specialty CurrentSince Feb 19, 2024 Accepting new patients
Dartmouth-Hitchcock Clinic Single Specialty CurrentSince Feb 19, 2024 Accepting new patients

Locations

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

100 Hitchcock Way
Manchester, NH 03104
Phone (603) 629-1870

Interoperability endpoints

  • Direct secure messaging: christopher.dziok.p1@direct.sandygordon.nextgenshare.com

Organizations & group practices 4

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 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": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1811658263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 NORTH ST STE A",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013825",
            "telephone_number": "508-775-8282",
            "fax_number": "888-838-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 NORTH ST STE A",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013825",
            "telephone_number": "508-775-8282",
            "fax_number": "508-775-8280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Route 6A Bldg 2",
            "address_purpose": "LOCATION",
            "city": "Sandwich",
            "state": "MA",
            "postal_code": "025635309",
            "country_code": "US",
            "telephone_number": "508-775-8282",
            "fax_number": "508-775-8280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Hitchcock Way",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031044125",
            "country_code": "US",
            "telephone_number": "603-663-5310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DZIOK",
        "first_name": "CHRISTOPHER",
        "middle_name": "LAURENT",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-07",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "2142",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.