Active NPI
Pauline B Reohr, M.D.
- Dermatology Physician
- Burlington, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 80664
- Practice address
- Lahey Clinic
41 Mall Rd.
Burlington, MA 01805-0001 - Phone
- (781) 744-8457
- Fax
- (781) 744-5687
- NPI assigned
- Oct 16, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 80664 | MA | Primary |
Addresses
Primary practice location
Lahey Clinic
41 Mall Rd.
Burlington, MA 01805-0001
Mailing address
7300 Ranch Road 2222, Building 1, Ste 200
Austin, TX 78730
Phone (512) 628-0465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110056579A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171212000090 | CO | Practitioner - Dermatology | 9830135268 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Perelman School of Med at the University of Pennsylvania, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bella Derma, LLC
Practice addresses (Care Compare)
261 Robinson St
Suite C100
Basalt, CO 81621-8387
Phone (970) 927-2800
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.01 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 83.36
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 2062 |
| Removal or shaving of skin growth | 613 |
| Skin biopsy | 99 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80664 | MA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bella Derma, LLC | Dermatology | Current | Accepting new patients |
Locations
300 S Spring St
Aspen, CO 81611
Phone (970) 926-9226
300 S Spring St
Ste 103
Aspen, CO 81611
Phone (970) 710-2400
261 Robinson St
Ste C100
Basalt, CO 81621
Phone (970) 927-2800
7300 Ranch Road 2222
Bldg 1
Austin, TX 78730
Interoperability endpoints
- preohr@epiphanyderm.emadirect.md
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": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677196800000",
"number": "1033299136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7300 RANCH ROAD 2222, BUILDING 1, STE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78730",
"telephone_number": "512-628-0465",
"fax_number": "512-233-2711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LAHEY CLINIC",
"address_2": "41 MALL RD.",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018050001",
"telephone_number": "781-744-8457",
"fax_number": "781-744-5687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REOHR",
"first_name": "PAULINE",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2023-02-24",
"certification_date": "2023-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MA",
"license": "80664",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110056579A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.