Individual provider Active NPI

Carin Litani, MD

  • MOHS-Micrographic Surgery Physician
  • Wellesley Hills, MA
National Provider Identifier
1326209560
Registry record updated May 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
240062 Issued in MA
Practice address
65 Walnut St
Ste 480
Wellesley Hills, MA 02481-2118
Phone
(843) 792-9784
NPI assigned
Jun 20, 2008
Last updated
May 30, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 240062 MA
MOHS-Micrographic Surgery Physician 207ND0101X 240062 MA Primary
Procedural Dermatology Physician 207NS0135X LL30974 SC
Procedural Dermatology Physician 207NS0135X 240062 MA

Addresses

Primary practice location

65 Walnut St
Ste 480
Wellesley Hills, MA 02481-2118

Mailing address

65 Walnut St
Ste 480
Wellesley Hills, MA 02481-2118
Phone (781) 431-7733

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
I20091001000084 MA Practitioner - Dermatology 5092851295 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Albany Medical College of Union University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dermatology Partners IncGroup PAC ID 0840386249, 7 clinicians

Practice addresses (Care Compare)

65 Walnut St
Suite 480
Wellesley Hills, MA 02481-2195
Phone (781) 431-7733

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision153
Removal of tissue1-10
Removal of skin lesions995
Removal of skin cancer233
Removal or shaving of skin growth1-10
Skin biopsy524

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
240062MAMDProcedural Dermatology Physician
LL30974SCMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Partners Inc Dermatology CurrentSince Sep 14, 2009 Accepting new patients

Locations

65 Walnut St
Ste 480
Wellesley Hls, MA 02481
Phone (781) 431-7733

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338336000000",
    "number": "1326209560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 WALNUT ST",
            "address_2": "STE 480",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024812118",
            "telephone_number": "781-431-7733",
            "fax_number": "781-235-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 WALNUT ST",
            "address_2": "STE 480",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024812118",
            "telephone_number": "843-792-9784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITANI",
        "first_name": "CARIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-20",
        "last_updated": "2012-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "240062",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MA",
            "license": "240062",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "SC",
            "license": "LL30974",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "MA",
            "license": "240062",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley Hills, MA

Sources for this page

Verify at the official NPI Registry.