Individual provider Active NPI

Deep S Joshipura, MD

  • Dermatology Physician
  • Norwood, MA
National Provider Identifier
1366970386
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
1020567 Issued in MA
Practice address
128 Carnegie Row Ste 202
Norwood, MA 02062-5162
Phone
(781) 762-5858
Fax
(781) 617-6202
NPI assigned
Jun 3, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD17789 RI
Dermatology Physician 207N00000X 1020567 MA Primary

Addresses

Primary practice location

128 Carnegie Row Ste 202
Norwood, MA 02062-5162

Mailing address

526 Main St Ste 302
Acton, MA 01720-3301
Phone (978) 371-7010

Other practice location 1

593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-7959

Other practice location 2

95 Washington St Ste 210
Canton, MA 02021-4009
Phone (781) 713-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210831000498 RI Practitioner - Dermatology 4789084740 Reassigns benefits to 1 organization
I20240803000507 MA Practitioner - Dermatology 4789084740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates PCGroup PAC ID 7012982044, 19 clinicians

Practice addresses (Care Compare)

128 Carnegie Row
Norwood, MA 02062-5161
Phone (781) 762-5858

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision41
Removal of skin lesions874
Skin biopsy357

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1020567MAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Da Mass PC Dermatology CurrentSince Sep 17, 2024 Accepting new patients
Brown Dermatology, Inc. Dermatology CurrentSince Oct 1, 2021 Accepting new patients
Dermatology Associates PC Dermatology CurrentSince Sep 17, 2024 Accepting new patients

Locations

95 Washington St
Ste 201
Canton, MA 02021
Phone (781) 762-5858

95 Washington St
Ste 210
Canton, MA 02021
Phone (781) 713-1200

440 E Central St
Franklin, MA 02038
Phone (508) 298-1300

128 Carnegie Row
Norwood, MA 02062
Phone (781) 762-5858

128 Carnegie Row
Ste 202
Norwood, MA 02062
Phone (781) 762-5858

110 Elm St
Providence, RI 02903
Phone (401) 443-4992

110 Elm St
Fl 3
Providence, RI 02903

593 Eddy St
Providence, RI 02903

593 Eddy St
#10
Providence, RI 02903
Phone (401) 444-7024

Interoperability endpoints

  • Direct secure messaging: djoshipura@apderm.emadirect.md

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1496448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1366970386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 MAIN ST STE 302",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203301",
            "telephone_number": "978-371-7010",
            "fax_number": "978-371-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 CARNEGIE ROW STE 202",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020625162",
            "telephone_number": "781-762-5858",
            "fax_number": "781-617-6202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "593 Eddy St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029034923",
            "country_code": "US",
            "telephone_number": "401-444-7959",
            "fax_number": "401-444-7144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "95 Washington St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MA",
            "postal_code": "020214009",
            "country_code": "US",
            "telephone_number": "781-713-1200",
            "fax_number": "781-619-6202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSHIPURA",
        "first_name": "DEEP",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-03",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "RI",
            "license": "MD17789",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "1020567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

Verify at the official NPI Registry.