Individual provider Active NPI

Samuel R Gorelik

  • Podiatrist
  • Canton, MA
National Provider Identifier
1306475397
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
S40424626 Issued in MA
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

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230614003197 MA Practitioner - Podiatry 8123486701 Reassigns benefits to 1 organization

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
Scott M Aronson DPM PCGroup PAC ID 8628157658, 2 clinicians

Practice addresses (Care Compare)

1017 Turnpike St
Suite 12B
Canton, MA 02021-2847
Phone (781) 344-1440

Hospital & facility affiliations

  • Good Samaritan Medical Center Hospital, Brockton, MA, CCN 220111

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue33
Removal of skin lesions1-10
Removal of nail tissue224
Removal or shaving of skin growth63
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S40424626MAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Scott M. Aronson, DPM PC Podiatrist CurrentSince Aug 1, 2023 Accepting new patients

Locations

1017 Turnpike St
Ste 12B
Canton, MA 02021
Phone (781) 344-1440

Interoperability endpoints

  • Direct secure messaging: sgorelik263916@direct.bmc.masshiway.net
  • FHIR API: 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.

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": "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

Verify at the official NPI Registry.