Individual provider Active NPI

Mitalee Patil Christman, M.D.

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1013334093
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
294196 Issued in NY
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

Updated by the provider on Jul 30, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190228001327 MA Practitioner - Dermatology 4486993920 Reassigns benefits to 1 organization

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
Skincare Physicians IncGroup PAC ID 6800791450, 17 clinicians

Practice addresses (Care Compare)

1244 Boylston St
Suite 103
Chestnut Hill, MA 02467-2115
Phone (617) 848-1611

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions667
Removal or shaving of skin growth16
Skin biopsy86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
294196NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skincare Physicians Inc Dermatology CurrentSince Feb 8, 2019 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.