Individual provider Active NPI

Elise Chang Hillmann, MD PA

  • Dermatopathology Physician
  • Jupiter, FL
National Provider Identifier
1386649853
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
ME64945 Issued in FL
Practice address
654 W Indiantown Rd
Ste 103
Jupiter, FL 33458-7546
Phone
(561) 745-8602
Fax
(561) 745-8673
NPI assigned
Jun 20, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X ME64945 FL Primary

Addresses

Primary practice location

654 W Indiantown Rd
Ste 103
Jupiter, FL 33458-7546

Mailing address

654 W Indiantown Rd
Ste 103
Jupiter, FL 33458-7546
Phone (561) 745-8602

Other names 1

  • Elise Chang Hillmann Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: echanghillmann19526@jupitermedicalcenter.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1386649853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 W INDIANTOWN RD",
            "address_2": "STE 103",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587546",
            "telephone_number": "561-745-8602",
            "fax_number": "561-745-8673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 W INDIANTOWN RD",
            "address_2": "STE 103",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587546",
            "telephone_number": "561-745-8602",
            "fax_number": "561-745-8673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLMANN",
        "first_name": "ELISE",
        "middle_name": "CHANG",
        "credential": "MD PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "FL",
            "license": "ME64945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISE",
            "last_name": "HILLMANN",
            "middle_name": "CHANG",
            "credential": "MD PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.