Andrei Metelitsa, M.D., FRCPC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

242957 Issued in MA

Practice address

1244 Boylston St
Chestnut Hill, MA 02467-2116

Phone

(617) 731-1600

Fax

(617) 731-1601

NPI assigned

Dec 4, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1259884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277251200000",
    "number": "1336477249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 BOYLSTON ST",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672116",
            "telephone_number": "617-731-1600",
            "fax_number": "617-731-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 BOYLSTON ST",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672116",
            "telephone_number": "617-731-1600",
            "fax_number": "617-731-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METELITSA",
        "first_name": "ANDREI",
        "name_prefix": "Dr.",
        "credential": "M.D., FRCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-04",
        "last_updated": "2010-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "242957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Smith DMD, PLLC
• Gianna Eileen Meloni, PMHNP-BC
• Shobha Sandeep Menon
• Christine Louise Merkle, PH.D.
• Jane Metcalf
• Anna Keating Michalowski, MD
• Corinne Michaud
• Malina K Milan, M.D.
• Maria Milcetic Comer, M.D.
• Sarah Hannah Millan, MD

• Dermatology Physician in Chestnut Hill, MA
• Providers in Chestnut Hill, MA by specialty
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.