Individual provider Active NPI

Cerrah Lynn Mendelsohn-Elzam, M.D.

  • Internal Medicine Physician
  • Greenwich, CT
National Provider Identifier
1568679736
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
45295 Issued in CT
Practice address
7 Riversville Rd Ste 1
Greenwich, CT 06831-3697
Phone
(203) 531-1808
Fax
(203) 531-8326
NPI assigned
May 17, 2007
Last updated
Mar 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 045295 CT
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 45295 CT Primary

Addresses

Primary practice location

7 Riversville Rd Ste 1
Greenwich, CT 06831-3697

Mailing address

67 Mountain Ave
Larchmont, NY 10538-1936
Phone (917) 440-0782

Other practice location 1

5 Perryridge Road
Greenwich Hospital
Greenwich, CT 06830-4697
Phone (203) 863-3639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20070720000405 CT Practitioner - Internal MedicinePractitioner - Emergency Medicine 8022119031 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
University of California, Davis School of Medicine, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Glenville Medical Associates P.CGroup PAC ID 1456408400, 7 clinicians

Practice addresses (Care Compare)

7 Riversville Rd
Greenwich, CT 06831-3684
Phone (203) 531-1808

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
045295CTMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greenwich Sports Medicine PC Single Specialty CurrentSince Apr 26, 2022 Accepting new patients
Glenville Medical Associates P.C Single Specialty CurrentSince Apr 26, 2022 Accepting new patients

Locations

7 Riversville Rd
Greenwich, CT 06831
Phone (203) 531-1808

7 Riversville Rd
Ste 1
Greenwich, CT 06831
Phone (203) 531-1808

Interoperability endpoints

  • Direct secure messaging: cerrah.mendelsohn-elzam@499728505765892.direct.elationemr.com
  • Direct secure messaging: cmendelsohnelzam6890@direct.ynhh.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1568679736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 MOUNTAIN AVE",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105381936",
            "telephone_number": "917-440-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 RIVERSVILLE RD STE 1",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068313697",
            "telephone_number": "203-531-1808",
            "fax_number": "203-531-8326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Perryridge Road",
            "address_2": "Greenwich Hospital",
            "address_purpose": "LOCATION",
            "city": "Greenwich",
            "state": "CT",
            "postal_code": "068304697",
            "country_code": "US",
            "telephone_number": "203-863-3639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDELSOHN-ELZAM",
        "first_name": "CERRAH",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CT",
            "license": "045295",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "45295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

Verify at the official NPI Registry.