Active NPI
Elizabeth A. Eldredge, M.D.
- Anesthesiology Physician
- South Weymouth, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 80363
- Practice address
- 55 Fogg Rd
South Weymouth, MA 02190-2432 - Phone
- (781) 340-8000
- NPI assigned
- Nov 7, 2005
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 80363 | MA | Primary |
Addresses
Primary practice location
55 Fogg Rd
South Weymouth, MA 02190-2432
Mailing address
55 Fogg Rd
Weymouth, MA 02190-2432
Phone (781) 624-8000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 53077 | Other | MA | FALLON |
| 3133052 | Medicaid | MA | |
| 758551 | Other | MA | TUFTS HEALTH PLAN |
| 275018 | Other | MD | HARVARD PILGRIM |
| J31003 | Other | MA | BLUE SHIELD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Vermont College of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
55 Fogg Rd
Weymouth, MA 02190-2432
Phone (781) 792-4136
Hospital & facility affiliations
- South Shore Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Medical Associates | Anesthesiology | Current | Accepting new patients |
| Steward Medical Group, Inc | Anesthesiology | Current | Accepting new patients |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| South Shore Anesthesia Associates, Inc | Anesthesiology | Past | Accepting new patients |
Locations
138 Haverhill St
Andover, MA 01810
Phone (978) 296-2302
736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762
2100 Dorchester Ave
Dorchestr Ctr, MA 02124
Phone (617) 506-2222
70 East St
Methuen, MA 01844
Phone (978) 682-1906
55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Weymouth, MA
- NPI 1932175684
-
- Anesthesiology Physician
- Fall River, MA
- NPI 1043711914
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- Anesthesiology Physician
- Weymouth, MA
- NPI 1215066394
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South Weymouth, MA
- NPI 1134227606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620864000000",
"number": "1295716470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 FOGG RD",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021902432",
"telephone_number": "781-624-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FOGG RD",
"city": "SOUTH WEYMOUTH",
"state": "MA",
"postal_code": "021902432",
"telephone_number": "781-340-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELDREDGE",
"first_name": "ELIZABETH",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-07",
"last_updated": "2021-05-13",
"certification_date": "2021-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MA",
"license": "80363",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "53077",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3133052",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "758551",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "275018",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "J31003",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Weymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.