Individual provider Active NPI

Chelsea Lynn Gottschalk, MD

  • Ophthalmology Physician
  • Lexington, MA
National Provider Identifier
1548767254
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
291267 Issued in MA
Practice address
21 Worthen Rd
Lexington, MA 02421-4835
Phone
(781) 876-2020
NPI assigned
Apr 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 291267 MA Primary

Addresses

Primary practice location

21 Worthen Rd
Lexington, MA 02421-4835

Mailing address

21 Worthen Rd
Lexington, MA 02421-4835
Phone (781) 876-2020

Other practice location 1

534 Boston Post Rd
Sudbury, MA 01776-3508
Phone (781) 876-2020

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
I20220712002602 MA Practitioner - Ophthalmology 0042545782 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Lexington Eye Associates - BidGroup PAC ID 8820315682, 33 clinicians
Lexington Eye Associates, IncGroup PAC ID 5698748986, 33 clinicians

Practice addresses (Care Compare)

21 Worthen Rd
Lexington, MA 02421-4835
Phone (781) 862-1620

980 Washington St
Suite 120
Dedham, MA 02026-6704
Phone (781) 876-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery106

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
291267MAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Eye Associates, Inc. Ophthalmology CurrentSince Jun 1, 2022 Accepting new patients
Lexington Eye Associates, Inc Ophthalmology CurrentSince Jun 1, 2022 Accepting new patients
Lexington Eye Associates - Bid Ophthalmology CurrentSince Jun 1, 2022 Accepting new patients
Emerson Hospital Current Accepting new patients

Locations

980 Washington St
Ste 120
Dedham, MA 02026
Phone (781) 251-2222

21 Worthen Rd
Lexington, MA 02421
Phone (617) 862-1620

534 Boston Post Rd
Sudbury, MA 01776
Phone (781) 876-2020

Interoperability endpoints

  • Direct secure messaging: cgottschalk132436@direct.bilh.masshiway.net
  • Direct secure messaging: gottschalk.chelsea.epho@direct.partners.masshiway.net
  • Direct secure messaging: chelsea.gottschalk.1@24697.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1548767254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WORTHEN RD",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024214835",
            "telephone_number": "781-876-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WORTHEN RD",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024214835",
            "telephone_number": "781-876-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "534 Boston Post Rd",
            "address_purpose": "LOCATION",
            "city": "Sudbury",
            "state": "MA",
            "postal_code": "017763508",
            "country_code": "US",
            "telephone_number": "781-876-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOTTSCHALK",
        "first_name": "CHELSEA",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-09",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "291267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

Verify at the official NPI Registry.