Individual provider Active NPI

Garrett Alexander Politis, DC

  • Chiropractor
  • Pittsfield, MA
National Provider Identifier
1851374201
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2342 Issued in MA
Practice address
379 South St
Pittsfield, MA 01201-6803
Phone
(413) 443-6337
Fax
(413) 403-5100
NPI assigned
Nov 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2342 MA Primary

Addresses

Primary practice location

379 South St
Pittsfield, MA 01201-6803

Mailing address

379 South St
Pittsfield, MA 01201-6803
Phone (413) 441-7101

Other identifiers 2

IdentifierTypeStateIssuer
350038917OtherGAPALMETTO GBA
Y37023OtherMABLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050721000191 MA Practitioner - Chiropractic 5991732984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

379 S St
Pittsfield, MA 01201-6803
Phone (413) 443-6337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2342MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Politis Family Chiropractic PC Chiropractor CurrentSince Jul 2, 2018 Accepting new patients

Locations

379 South St
Pittsfield, MA 01201
Phone (413) 441-7101

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1851374201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 SOUTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016803",
            "telephone_number": "413-441-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 SOUTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016803",
            "telephone_number": "413-443-6337",
            "fax_number": "413-403-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLITIS",
        "first_name": "GARRETT",
        "middle_name": "ALEXANDER",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "350038917",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y37023",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.