Active NPI
Mitalee Patil Christman, M.D.
- Dermatology Physician
- New York, NY
National Provider Identifier
1013334093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 294196
- Practice address
- 317 E 34TH St RM 11R
New York, NY 10016 - Phone
- (212) 686-7306
- NPI assigned
- Mar 27, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dermatology Physician | 207N00000X | 294196 | NY | Primary |
Addresses
Primary practice location
317 E 34TH St RM 11R
New York, NY 10016
Mailing address
95 Chambers St
New York, NY 10007-1805
Other practice location 1
95 Chambers St
New York, NY 10007-1805
Phone (212) 431-4749
Other names 1
- Dr. Mitalee Milan Patil
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Harvard Medical School, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1244 Boylston St
Suite 103
Chestnut Hill, MA 02467-2115
Phone (617) 848-1611
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 667 |
| Removal or shaving of skin growth | 16 |
| Skin biopsy | 86 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 294196 | NY | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skincare Physicians Inc | Dermatology | Current | Accepting new patients |
| Skincarephysicians | Dermatology | Past | Accepting new patients |
| Skincare Physicians St Elizabeths Inc | Dermatology | Past | Accepting new patients |
Locations
1244 Boylston St
Ste 103
Chestnut Hill, MA 02467
Phone (617) 731-1600
1244 Boylston St
Ste 302
Chestnut Hill, MA 02467
Phone (617) 731-1600
Interoperability endpoints
- mchristman@scp.emadirect.md
Organizations & group practices 3
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.
-
- Dermatology Physician
- Chestnut Hill, MA
- NPI 1508893843
-
- Dermatology Physician
- Chestnut Hill, MA
- NPI 1639499676
-
- Dermatology Physician
- Chestnut Hill, MA
- NPI 1699005173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532908800000",
"number": "1013334093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 CHAMBERS ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100071805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 E 34TH ST RM 11R",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10016",
"telephone_number": "212-686-7306"
}
],
"practiceLocations": [
{
"address_1": "95 Chambers St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100071805",
"country_code": "US",
"telephone_number": "212-431-4749",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHRISTMAN",
"first_name": "MITALEE",
"middle_name": "PATIL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-27",
"last_updated": "2018-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "294196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MITALEE",
"last_name": "PATIL",
"middle_name": "MILAN",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.