Individual provider Active NPI

David Joel Elpern, MD

  • Dermatology Physician
  • Williamstown, MA
National Provider Identifier
1285614099
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
78145 Issued in MA
Practice address
12 Meadow St
Williamstown, MA 01267
Phone
(413) 458-2800
Fax
(413) 458-4224
NPI assigned
Jan 18, 2006
Last updated
Oct 4, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 78145 MA Primary

Addresses

Primary practice location

12 Meadow St
Williamstown, MA 01267

Mailing address

12 Meadow St
Williamstown, MA 01267
Phone (413) 458-2800

Other identifiers 3

IdentifierTypeStateIssuer
3114139MedicaidMA
OVN0704MedicaidVT
078145OtherMATUFTS

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
I20050613000800 MA Practitioner - Dermatology 9638113509 Practice locations: Williamstown, MA

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York University School of Medicine, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12 Meadow St
Williamstown, MA 01267-2843

12 Meadow St
Williamstown, MA 01267-3241
Phone (413) 458-2800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision62
Removal of skin lesions236
Removal or shaving of skin growth1-10
Skin biopsy300

National Provider Directory

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

Hospital & facility affiliations 2

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": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191456000000",
    "number": "1285614099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MEADOW ST",
            "city": "WILLIAMSTOWN",
            "state": "MA",
            "postal_code": "01267",
            "telephone_number": "413-458-2800",
            "fax_number": "413-458-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MEADOW ST",
            "city": "WILLIAMSTOWN",
            "state": "MA",
            "postal_code": "01267",
            "telephone_number": "413-458-2800",
            "fax_number": "413-458-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELPERN",
        "first_name": "DAVID",
        "middle_name": "JOEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2007-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "78145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3114139",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN0704",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "078145",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamstown, MA

Sources for this page

Verify at the official NPI Registry.