Individual provider Active NPI

Christopher Michael Yardan, DPM

  • Podiatrist
  • Wallingford, CT
National Provider Identifier
1972866275
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
000893 Issued in CT
Practice address
187 N Main St
Wallingford, CT 06492-3721
Phone
(203) 265-4814
Fax
(203) 949-4741
NPI assigned
Jun 21, 2012
Last updated
Apr 27, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 000893 CT Primary

Addresses

Primary practice location

187 N Main St
Wallingford, CT 06492-3721

Mailing address

187 N Main St
Wallingford, CT 06492-3721
Phone (203) 265-4814

Other identifiers 1

IdentifierTypeStateIssuer
000893OtherCTSTATE OF CT PODIATRY LICENSE

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
I20120801000038 CT Practitioner - Podiatry 5496911752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

187 N Main St
Wallingford, CT 06492-2229
Phone (203) 265-4814

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue12
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000893CTMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Foot and Ankle Surgery, LLC CurrentSince Nov 1, 2015 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: christopher.yardan@xdr.hhchealthdirect.org

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.

Hospital & facility affiliations 2

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": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1972866275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 N MAIN ST",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064923721",
            "telephone_number": "203-265-4814",
            "fax_number": "203-949-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 N MAIN ST",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064923721",
            "telephone_number": "203-265-4814",
            "fax_number": "203-949-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARDAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-21",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "000893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CT PODIATRY LICENSE",
            "identifier": "000893",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

Verify at the official NPI Registry.