Individual provider Active NPI

Elite Bor-Shavit, MD

  • Retina Specialist (Ophthalmology) Physician
  • Lancaster, MA
National Provider Identifier
1104303858
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
276771 Issued in MA
Practice address
479 Old Union Tpke
Lancaster, MA 01523
Phone
(978) 537-3900
NPI assigned
Jul 25, 2018
Last updated
May 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 276771 MA Primary

Addresses

Primary practice location

479 Old Union Tpke
Lancaster, MA 01523

Mailing address

479 Old Union Tpke
Lancaster, MA 01523-3029
Phone (978) 728-5445

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@dambrosioeyecarelancasterma.compulinkdirect.com Direct

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
I20190131002789 MA Practitioner - Ophthalmology 3971840711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
D'Ambrosio Eye Care IncGroup PAC ID 5597755314, 11 clinicians

Practice addresses (Care Compare)

479 Old Union Tpke
Lancaster, MA 01523-3029
Phone (978) 537-3900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
D'Ambrosio Eye Care, Inc. CurrentSince Dec 15, 2018 Accepting new patients
D'Ambrosio Eye Care, Inc. CurrentSince Dec 15, 2018 Accepting new patients
D'Ambrosio Eye Care, Inc. Current Accepting new patients
D'Ambrosio Eye Care, Inc. Past Accepting new patients

Locations

100 Powdermill Rd
Acton, MA 01720
Phone (978) 897-1600

413 Main St
Athol, MA 01331
Phone (978) 249-4209

74 Main St
Gardner, MA 01440
Phone (978) 632-3930

479 Old Union Tpke
Lancaster, MA 01523
Phone (978) 537-3900

865 Merriam Ave
Ste 119
Leominster, MA 01453
Phone (978) 537-6045

255 Park Ave
Ste 606
Worcester, MA 01609
Phone (508) 753-1032

Interoperability endpoints

  • Direct secure messaging: direct@dambrosioeyecarelancasterma.compulinkdirect.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1104303858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 OLD UNION TPKE",
            "city": "LANCASTER",
            "state": "MA",
            "postal_code": "015233029",
            "telephone_number": "978-728-5445",
            "fax_number": "978-537-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 OLD UNION TPKE",
            "city": "LANCASTER",
            "state": "MA",
            "postal_code": "01523",
            "telephone_number": "978-537-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOR-SHAVIT",
        "first_name": "ELITE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MA",
            "license": "276771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@dambrosioeyecarelancasterma.compulinkdirect.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "479 Old Union Tpke",
            "city": "Lancaster",
            "state": "MA",
            "country_code": "US",
            "postal_code": "01523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lancaster, MA

Sources for this page

Verify at the official NPI Registry.