Active NPI
Marcus L. Elias, MD
- Dermatology Physician
- Wilkes Barre, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD494428
- Practice address
- 1155 East MTN Blvd
Wilkes Barre, PA 18702-7906 - Phone
- (570) 808-6113
- Fax
- (570) 808-6349
- NPI assigned
- Mar 24, 2020
- Last updated
- Aug 17, 2026
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD494428 | PA | Primary |
| Dermatology Physician | 207N00000X | 35.150702 | OH |
Addresses
Primary practice location
1155 East MTN Blvd
Wilkes Barre, PA 18702-7906
Mailing address
100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 808-6113
Other practice location 1
3025 Governors Place Blvd
Dayton, OH 45409-1330
Phone (937) 293-5567
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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
- Rutgers New Jersey Medical School, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3025 Governors Place Blvd
Dayton, OH 45409-1330
Phone 9372935567127
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 47 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 336 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 195 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD494428 | PA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dayton Skin Surgery Center Inc | Current | Accepting new patients |
Locations
3025 Governors Place Blvd
Kettering, OH 45409
Phone (937) 293-5567
Interoperability endpoints
- marcus.eliasmd.p1@direct.daytonskin.nextgenshare.com
Organizations & group practices 1
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.
-
- MOHS-Micrographic Surgery Physician
- Dayton, OH
- NPI 1710932454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786924800000",
"number": "1407483118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N ACADEMY AVE",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178224903",
"telephone_number": "570-808-6113",
"fax_number": "570-808-6349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 EAST MTN BLVD",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187027906",
"telephone_number": "570-808-6113",
"fax_number": "570-808-6349"
}
],
"practiceLocations": [
{
"address_1": "3025 Governors Place Blvd",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454091330",
"country_code": "US",
"telephone_number": "937-293-5567",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELIAS",
"first_name": "MARCUS",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-24",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "PA",
"license": "MD494428",
"primary": true
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "OH",
"license": "35.150702",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.