Individual provider Active NPI

Elias Reichel, MD

  • Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
  • Boston, MA
National Provider Identifier
1053376939
Registry record updated Jun 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Uveitis and Ocular Inflammatory Disease (Ophthalmology) PhysicianTaxonomy code 207WX0108X
License
75902 Issued in MA
Practice address
260 Tremont Street
BWD 10
Boston, MA 02116
Phone
(617) 636-1648
Fax
(617) 636-4866
NPI assigned
Apr 20, 2006
Last updated
Jun 29, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician 207WX0108X 75902 MA Primary
Ophthalmology Physician 207W00000X MA75902 MA

Addresses

Primary practice location

260 Tremont Street
BWD 10
Boston, MA 02116

Mailing address

Box 450
800 Washington Street
Boston, MA 02111
Phone (617) 636-1648

Other identifiers 2

IdentifierTypeStateIssuer
3095029MedicaidMA
180016258OtherMARAILROAD MEDICARE

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
I20050420001241 MA Practitioner - Ophthalmology 5890733745 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA75902MAMDOphthalmology Physician
75902MAMDUveitis and Ocular Inflammatory Disease (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pratt Ophthalmology Associates, Inc CurrentSince May 13, 1992 Accepting new patients
Pratt Ophthalmology Associates Inc Ophthalmology CurrentSince May 13, 1992 Accepting new patients
Eye Associates PC Ophthalmology CurrentSince May 13, 1992 Accepting new patients
Tufts Medical Center, Inc. Past Accepting new patients

Locations

260 Tremont St
#10
Boston, MA 02116
Phone (617) 636-1648

750 Washington St
#833
Boston, MA 02111
Phone (617) 636-4800

750 Washington St
#N
Boston, MA 02111
Phone (617) 636-0047

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

800 Washington St
#1013
Boston, MA 02111
Phone (617) 636-0491

172 Cambridge St
Burlington, MA 01803
Phone (701) 272-4944

19 Village Sq
Chelmsford, MA 01824
Phone (978) 256-5600

51 State Rd
North Dartmouth, MA 02747
Phone (508) 994-1400

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498694400000",
    "number": "1053376939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 450",
            "address_2": "800 WASHINGTON STREET",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02111",
            "telephone_number": "617-636-1648",
            "fax_number": "617-636-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 TREMONT STREET",
            "address_2": "BWD 10",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02116",
            "telephone_number": "617-636-1648",
            "fax_number": "617-636-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHEL",
        "first_name": "ELIAS",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2017-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0108X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Uveitis and Ocular Inflammatory Disease",
            "state": "MA",
            "license": "75902",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "MA75902",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3095029",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180016258",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.