Individual provider Active NPI

Pamela Kirschner Weinfeld, MD

  • Dermatology Physician
  • Wellesley, MA
National Provider Identifier
1386600443
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
216859 Issued in MA
Practice address
10 Laurel Avenue
Suite 300
Wellesley, MA 02481
Phone
(781) 235-8155
Fax
(781) 235-2855
NPI assigned
Apr 25, 2006
Last updated
Jan 15, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 216859 MA Primary

Addresses

Primary practice location

10 Laurel Avenue
Suite 300
Wellesley, MA 02481

Mailing address

10 Laurel Avenue
Suite 300
Wellesley, MA 02481
Phone (781) 235-8155

Other identifiers 1

IdentifierTypeStateIssuer
J26523OtherMABCBS

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
I20071205000670 MA Practitioner - Dermatology 9032208590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Harvard Medical School, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology and Skin Care Assoc PCGroup PAC ID 5193807899, 9 clinicians

Practice addresses (Care Compare)

10 Laurel Ave
Suite 300
Wellesley, MA 02481-7536
Phone (781) 235-8155

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions583
Removal or shaving of skin growth34
Skin biopsy119

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
216859MAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology & Skin Care Assoc PC Dermatology CurrentSince Dec 15, 2007 Accepting new patients

Locations

10 Laurel Ave
Ste 300
Wellesley Hills, MA 02481
Phone (781) 235-8155

Interoperability endpoints

  • Direct secure messaging: weinfeld.pamela.dsca@direct.partners.masshiway.net

Organizations & group practices 2

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 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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263513600000",
    "number": "1386600443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 LAUREL AVENUE",
            "address_2": "SUITE 300",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "02481",
            "telephone_number": "781-235-8155",
            "fax_number": "781-235-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 LAUREL AVENUE",
            "address_2": "SUITE 300",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "02481",
            "telephone_number": "781-235-8155",
            "fax_number": "781-235-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINFELD",
        "first_name": "PAMELA",
        "middle_name": "KIRSCHNER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2010-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "216859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J26523",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

Verify at the official NPI Registry.