Individual provider Active NPI

Eileen M Deignan, MD

  • Dermatology Physician
  • Concord, MA
National Provider Identifier
1497723852
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
159436 Issued in MA
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3203247MedicaidMA

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
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 IncGroup PAC ID 6901839539, 15 clinicians

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 Hospital, Cambridge, MA, CCN 220002

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1024
Removal or shaving of skin growth1-10
Skin biopsy311

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
159436MAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of Concord Inc Dermatology CurrentSince Jun 3, 1999 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.

FacilityTypeRoleSince
Emerson HospitalConcord, MA, CCN 220084 Hospital Corporate Director Apr 1, 2015
Emerson HospitalConcord, MA, CCN 22S084 Hospital Corporate Director Apr 1, 2015
Emerson Hospital Home Care/HospiceConcord, MA, CCN 227072 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.

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

Verify at the official NPI Registry.