NPIMap

Individual provider Active NPI

Ellen R Seitelman, PA-C

  • Physician Assistant
  • Arlington, MA
National Provider Identifier
1629095641
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
192510 Issued in MA
Practice address
1398 Mass Ave
Arlington, MA 02476-4150
Phone
(781) 648-4572
NPI assigned
Jul 16, 2006
Last updated
Dec 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA00320 RI
Physician Assistant 363A00000X 001043 CT
Physician Assistant 363A00000X 192510 MA Primary

Addresses

Primary practice location

1398 Mass Ave
Arlington, MA 02476-4150

Mailing address

PO Box 347
Albion, RI 02802-0347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130618000596 MA Practitioner - Physician Assistant 4082505094 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-8400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.98 of 100Reported as apm
Quality
76.59
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001043CTMDMarriage & Family Therapist
192510MAMDPhysician Assistant
PA00320RIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Physician Associates Past Accepting new patients
DRX UC Watertown PC PastSince Dec 22, 2019 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is Past Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: eseitelman23108@direct.bilh.masshiway.net

Organizations & group practices 8

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 2

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1629095641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 347",
            "city": "ALBION",
            "state": "RI",
            "postal_code": "028020347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1398 MASS AVE",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024764150",
            "telephone_number": "781-648-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEITELMAN",
        "first_name": "ELLEN",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA00320",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "001043",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "192510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, MA

Sources for this page

Verify at the official NPI Registry.