Active NPI
Salah E El-Deriny, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Hyannis, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 55734
- Practice address
- 27 Park St
Cape Cod Hospital, Dept. of Pathology
Hyannis, MA 02601-5230 - Phone
- (508) 862-5267
- Fax
- (508) 771-7786
- NPI assigned
- Feb 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 55734 | MA | Primary |
Addresses
Primary practice location
27 Park St
Cape Cod Hospital, Dept. of Pathology
Hyannis, MA 02601-5230
Mailing address
PO Box 859207
Braintree, MA 02185-9207
Phone (603) 893-9784
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3079295 | Medicaid | MA | |
| 220032329 | Other | MA | RAILROAD MEDICARE |
| 600372 | Other | MA | HARVARD PILGRIM |
| 793997 | Other | MA | TUFTS HEALTH PLAN |
| J11325 | Other | MA | BCBS 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
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Ter Heun Dr
Falmouth, MA 02540-2503
Phone (508) 457-3536
27 Park St
Hyannis, MA 02601-5230
Phone (508) 862-5267
Hospital & facility affiliations
- Cape Cod Hospital
- Falmouth Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55734 | MA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cape Cod Pathology Consultants, P.C. | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Boston University Mallory Pathology Associates, Inc. | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Locations
1919 S Highland Ave
Bldg A
Lombard, IL 60148
27 Park St
Hyannis, MA 02601
Phone (508) 775-5011
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Hyannis, MA
- NPI 1306894886
-
- Anatomic Pathology & Clinical Pathology Physician
- Boston, MA
- NPI 1457308637
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hyannis, MA
- NPI 1114984671
-
- General Acute Care Hospital
- Falmouth, MA
- NPI 1336106806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260748800000",
"number": "1508831058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 859207",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "021859207",
"telephone_number": "603-893-9784",
"fax_number": "603-893-8886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 PARK ST",
"address_2": "CAPE COD HOSPITAL, DEPT. OF PATHOLOGY",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026015230",
"telephone_number": "508-862-5267",
"fax_number": "508-771-7786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EL-DERINY",
"first_name": "SALAH",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-20",
"last_updated": "2009-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MA",
"license": "55734",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3079295",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "220032329",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "600372",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "793997",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA",
"identifier": "J11325",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hyannis, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.