Active NPI
Deon Wolpowitz, MD
- Dermatology Physician
- Wellesley Hills, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 222940
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110073784A | Medicaid | MA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Columbia University College of Physicians and Surgeons, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 Laurel Ave
Suite 300
Wellesley, MA 02481-7536
Phone (781) 235-8155
Hospital & facility affiliations
- Newton-Wellesley Hospital
- Massachusetts General Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 16 |
| Removal of skin lesions | 431 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 165 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Medical Center Corporation | Current | Accepting new patients | |
| Dermatology & Skin Care Assoc PC | Dermatology | Current | Accepting new patients |
| Evans Medical Foundation, Inc. | Past | Accepting new patients | |
| Child Health Foundation of Boston, Inc. | Past | 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
- dwolpowitz12516@direct.bmc.masshiway.net
- 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.
-
- Dermatology Physician
- Wellesley, MA
- NPI 1003005331
-
- Dermatology Physician
- Boston, MA
- NPI 1376532853
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
-
- Pediatrics Physician
- Boston, MA
- NPI 1619969920
-
- Internal Medicine Physician
- Boston, MA
- NPI 1912954124
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newton, MA
- NPI 1992737761
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.