Individual provider Active NPI

Erica Dommasch, MD

  • Dermatology Physician
  • Boston, MA
National Provider Identifier
1003136771
Registry record updated Mar 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
257940 Issued in MA
Practice address
330 Brookline Ave
Shapiro 2
Boston, MA 02215-5400
Phone
(617) 667-3753
NPI assigned
Jun 4, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 257940 MA Primary

Addresses

Primary practice location

330 Brookline Ave
Shapiro 2
Boston, MA 02215-5400

Mailing address

330 Brookline Ave
Shapiro 2
Boston, MA 02215-5400
Phone (617) 667-3753

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140808001835 MA Practitioner - Dermatology 5698907103 Reassigns benefits to 3 organizations
I20250529001589 NY Practitioner - Dermatology 5698907103 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atrius Health IncGroup PAC ID 4789588641, 1,214 clinicians
Reliant Medical Group IncGroup PAC ID 5597755322, 638 clinicians
Schweiger Dermatology PLLCGroup PAC ID 5991947160, 254 clinicians
Spring Street Dermatology, PLLCGroup PAC ID 7113305517, 11 clinicians

Practice addresses (Care Compare)

133 Brookline Ave
Boston, MA 02215-3904
Phone (617) 421-1000

5 Neponset St
Worcesteer, MA 01606-2714
Phone (508) 595-2300

75 Spring St
FL 2
New York, NY 10012-4098
Phone (212) 431-4749

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions107
Skin biopsy38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
257940MAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atrius Health, Inc. CurrentSince Jan 28, 2024 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Dermatology CurrentSince Aug 4, 2014 Accepting new patients
Spring Street Dermatology, PLLC Dermatology CurrentSince Jun 2, 2025 Accepting new patients
Atrius Health, Inc. Dermatology CurrentSince Jan 28, 2024 Accepting new patients
Atrius Health, Inc. Dermatology Current Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Aug 4, 2014 Accepting new patients
Reliant Medical Group, Inc CurrentSince Jun 1, 2025 Accepting new patients

Locations

147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

330 Brookline Ave
#2
Boston, MA 02215
Phone (617) 632-8383

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

5 Neponset St
Worcester, MA 01606
Phone (508) 595-2300

4 W 58th St
Fl 13
New York, NY 10019
Phone (212) 431-4749

75 Spring St
Fl 2
New York, NY 10012
Phone (212) 431-4749

Interoperability endpoints

  • Direct secure messaging: edommaschmd50774@direct.atrius.masshiway.net

Organizations & group practices 8

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": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426809600000",
    "number": "1003136771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVE",
            "address_2": "SHAPIRO 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155400",
            "telephone_number": "617-667-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVE",
            "address_2": "SHAPIRO 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155400",
            "telephone_number": "617-667-3753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMMASCH",
        "first_name": "ERICA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-04",
        "last_updated": "2015-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "257940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.