Individual provider Active NPI

Deon Wolpowitz, MD

  • Dermatology Physician
  • Wellesley Hills, MA
National Provider Identifier
1396753307
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
222940 Issued in MA
Practice address
10 Laurel Ave Ste 300
Wellesley Hills, MA 02481
Phone
(781) 235-8155
Fax
(781) 235-2855
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X 222940 MA
Dermatology Physician 207N00000X 222940 MA Primary

Addresses

Primary practice location

10 Laurel Ave Ste 300
Wellesley Hills, MA 02481

Mailing address

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

Other practice location 1

725 Albany Street, Suite 8B
Shapiro Bldg.
Boston, MA 02118
Phone (617) 638-7420

Other identifiers 1

IdentifierTypeStateIssuer
110073784AMedicaidMA

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
I20070517000635 MA Practitioner - DermatologyPractitioner - Pathology 9335246859 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Pathology
Education
Columbia University College of Physicians and Surgeons, 2002
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

  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101
  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision16
Removal of skin lesions431
Removal or shaving of skin growth1-10
Skin biopsy165

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Medical Center Corporation Current Accepting new patients
Dermatology & Skin Care Assoc PC Dermatology CurrentSince Jul 1, 2015 Accepting new patients
Evans Medical Foundation, Inc. Past Accepting new patients
Child Health Foundation of Boston, Inc. PastSince Jan 1, 2005 Accepting new patients

Locations

960 Massachusetts Ave
Ste 2
Boston, MA 02118

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

Interoperability endpoints

  • Direct secure messaging: dwolpowitz12516@direct.bmc.masshiway.net
  • Direct secure messaging: wolpowitz.deon.dsca@direct.partners.masshiway.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1396753307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 LAUREL AVE STE 300",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024817536",
            "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 AVE STE 300",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "02481",
            "telephone_number": "781-235-8155",
            "fax_number": "781-235-2855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 Albany Street, Suite 8B",
            "address_2": "Shapiro Bldg.",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "02118",
            "country_code": "US",
            "telephone_number": "617-638-7420",
            "fax_number": "617-638-7289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLPOWITZ",
        "first_name": "DEON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2024-10-28",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "MA",
            "license": "222940",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "222940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110073784A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley Hills, MA

Sources for this page

Verify at the official NPI Registry.