Active NPI
Elise Chang Hillmann, MD PA
- Dermatopathology Physician
- Jupiter, FL
National Provider Identifier
1386649853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology Physician
- License
- ME64945
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
Interoperability endpoints
- 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.