Individual provider Active NPI

Elaine Tracy Kaye, MD

  • Dermatology Physician
  • Wellesley Hills, MA
National Provider Identifier
1447205190
Registry record updated Jun 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
75461 Issued in MA
Practice address
65 Walnut Street Ste 520
Newton Wellesley Dermatology Associates
Wellesley Hills, MA 02481
Phone
(781) 237-3500
Fax
(781) 237-7867
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 75461 MA Primary
Pediatric Dermatology Physician 207NP0225X 75461 MA

Addresses

Primary practice location

65 Walnut Street Ste 520
Newton Wellesley Dermatology Associates
Wellesley Hills, MA 02481

Mailing address

65 Walnut Street Ste 520
Newton Wellesley Dermatology Associates
Wellesley Hills, MA 02481
Phone (781) 237-3500

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
I20050426000386 MA Practitioner - DermatologyPractitioner - Pediatric Medicine 9133168511 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Pediatric Medicine
Education
Harvard Medical School, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Newton Wellesley Dermatology AssociatesGroup PAC ID 7911969878, 9 clinicians

Practice addresses (Care Compare)

65 Walnut St
Suite 520
Wellesley, MA 02481-2191
Phone (781) 237-3500

Hospital & facility affiliations

  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision13
Removal of skin lesions1572
Removal or shaving of skin growth20
Skin biopsy346

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75461MAMDPediatric Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Pediatric Associates, Inc Dermatology CurrentSince Jul 31, 2012 Accepting new patients
Newton Wellesley Dermatology Associates Dermatology CurrentSince Feb 26, 1992 Accepting new patients

Locations

300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956

65 Walnut St
Ste 520
Wellesley Hills, MA 02481
Phone (781) 237-3500

65 Walnut St
Wellesley Hls, MA 02481
Phone (781) 235-9089

Interoperability endpoints

  • Direct secure messaging: kaye.elaine.nwda@direct.partners.masshiway.net

Organizations & group practices 2

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 1

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340323200000",
    "number": "1447205190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 WALNUT STREET STE 520",
            "address_2": "NEWTON WELLESLEY DERMATOLOGY ASSOCIATES",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "02481",
            "telephone_number": "781-237-3500",
            "fax_number": "781-237-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 WALNUT STREET STE 520",
            "address_2": "NEWTON WELLESLEY DERMATOLOGY ASSOCIATES",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "02481",
            "telephone_number": "781-237-3500",
            "fax_number": "781-237-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYE",
        "first_name": "ELAINE",
        "middle_name": "TRACY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2012-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "75461",
            "primary": true
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "MA",
            "license": "75461",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley Hills, MA

Sources for this page

Verify at the official NPI Registry.