Individual provider Active NPI

Elizabeth Sklar, PA-C

  • Surgical Physician Assistant
  • Springfield, MA
National Provider Identifier
1427422682
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA5621 Issued in MA
Practice address
300 Birnie Ave
Ste 201
Springfield, MA 01107-1107
Phone
(413) 785-4666
Fax
(413) 846-4742
NPI assigned
Nov 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA5621 MA Primary

Addresses

Primary practice location

300 Birnie Ave
Ste 201
Springfield, MA 01107-1107

Mailing address

300 Birnie Ave
Ste 201
Springfield, MA 01107-1107
Phone (413) 785-4666

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160502001462 MA Practitioner - Physician Assistant 8022317726 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

150 Flanders Rd
Westborough, MA 01581-1017
Phone (781) 890-2133

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA5621MAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New England Orthopedic Surgeons CurrentSince Feb 13, 2016 Accepting new patients
Northeast Orthopaedic Alliance PLLC CurrentSince Mar 1, 2024 Accepting new patients
Northeast Orthopaedic Alliance PLLC CurrentSince Mar 1, 2024 Accepting new patients

Locations

265 Benton Dr
Ste 101
East Longmeadow, MA 01028
Phone (714) 785-4666

325B King St
Ste 101
Northampton, MA 01060

300 Birnie Ave
Ste 201
Springfield, MA 01107
Phone (413) 233-1292

150 Flanders Rd
Westborough, MA 01581
Phone (508) 870-2222

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1448409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1427422682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BIRNIE AVE",
            "address_2": "STE 201",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071107",
            "telephone_number": "413-785-4666",
            "fax_number": "413-846-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BIRNIE AVE",
            "address_2": "STE 201",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071107",
            "telephone_number": "413-785-4666",
            "fax_number": "413-846-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKLAR",
        "first_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-25",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MA",
            "license": "PA5621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.