Active NPI
Eileen M Deignan, MD
- Dermatology Physician
- Concord, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 159436
- Practice address
- 290 Baker Ave
Concord, MA 01742-2189 - Phone
- (978) 369-9023
- Fax
- (978) 371-9675
- NPI assigned
- Mar 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 159436 | MA | Primary |
Addresses
Primary practice location
290 Baker Ave
Concord, MA 01742-2189
Mailing address
290 Baker Ave
Concord, MA 01742-2189
Phone (978) 369-9023
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3203247 | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100811000315 | MA | Practitioner - Dermatology | 1658304290 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Yale University School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Dermatology Associates of Concord Inc
Practice addresses (Care Compare)
290 Baker Ave
N220
Concord, MA 01742-2190
625 Mount Auburn St
Cambridge, MA 02138-4555
Phone (617) 354-5658
Hospital & facility affiliations
- Mount Auburn Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1024 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 311 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 159436 | MA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology Associates of Concord Inc | Dermatology | Current | Accepting new patients |
Locations
625 Mount Auburn St
Cambridge, MA 02138
Phone (617) 354-5658
625 Mount Auburn St
Ste 101B
Cambridge, MA 02138
Phone (617) 354-6568
290 Baker Ave
Ste N220
Concord, MA 01742
Phone (978) 254-1600
290 Baker Ave
Concord, MA 01742
Phone (978) 369-0730
Ownership & related parties
All facility ownership & control disclosures 3
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Emerson Hospital | Hospital | Corporate Director | Apr 1, 2015 |
| Emerson Hospital | Hospital | Corporate Director | Apr 1, 2015 |
| Emerson Hospital Home Care/Hospice | Home health agency | Corporate Director | Apr 1, 2015 |
Owned or controlled facilities with NPI records 3
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
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 and National Provider Directory roles.
-
- Dermatology Physician
- Concord, MA
- NPI 1508964230
Dermatology, MA
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": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1497723852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 BAKER AVE",
"city": "CONCORD",
"state": "MA",
"postal_code": "017422189",
"telephone_number": "978-369-9023",
"fax_number": "978-371-9675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 BAKER AVE",
"city": "CONCORD",
"state": "MA",
"postal_code": "017422189",
"telephone_number": "978-369-9023",
"fax_number": "978-371-9675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEIGNAN",
"first_name": "EILEEN",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MA",
"license": "159436",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3203247",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Concord, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.