Active NPI
Samuel R Gorelik
- Podiatrist
- Canton, MA
National Provider Identifier
1306475397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- S40424626
- Practice address
- 1017 Turnpike St Ste 12B
Canton, MA 02021-2847 - Phone
- (781) 344-1440
- NPI assigned
- Apr 2, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | S40424626 | MA | Primary |
Addresses
Primary practice location
1017 Turnpike St Ste 12B
Canton, MA 02021-2847
Mailing address
1017 Turnpike St Ste 12B
Canton, MA 02021-2847
Phone (781) 344-1440
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Podiatric Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1017 Turnpike St
Suite 12B
Canton, MA 02021-2847
Phone (781) 344-1440
Hospital & facility affiliations
- Good Samaritan Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 33 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 224 |
| Removal or shaving of skin growth | 63 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S40424626 | MA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott M. Aronson, DPM PC | Podiatrist | Current | Accepting new patients |
Locations
1017 Turnpike St
Ste 12B
Canton, MA 02021
Phone (781) 344-1440
Interoperability endpoints
- sgorelik263916@direct.bmc.masshiway.net
- https://fhir.meditouchehr.com/api/fhir/r4/
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.
-
- Podiatrist
- Canton, MA
- NPI 1508089210
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brockton, MA
- NPI 1871329110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706140800000",
"number": "1306475397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1017 TURNPIKE ST STE 12B",
"city": "CANTON",
"state": "MA",
"postal_code": "020212847",
"telephone_number": "781-344-1440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1017 TURNPIKE ST STE 12B",
"city": "CANTON",
"state": "MA",
"postal_code": "020212847",
"telephone_number": "781-344-1440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORELIK",
"first_name": "SAMUEL",
"middle_name": "R",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-02",
"last_updated": "2024-01-25",
"certification_date": "2024-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MA",
"license": "S40424626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.