Active NPI
Elena Margarite Hadjicharalambous, MD
- Dermatology Physician
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 10677587-1205
- Practice address
- 1548 E 4500 S
Ste 202
Salt Lake City, UT 84117 - Phone
- (801) 266-8841
- Fax
- (801) 266-0449
- NPI assigned
- Jun 12, 2014
- Last updated
- Mar 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 10677587-1205 | UT | Primary |
| Dermatology Physician | 207N00000X | 4301105645 | MI | |
| Procedural Dermatology Physician | 207NS0135X | 10677587-1205 | UT |
Addresses
Primary practice location
1548 E 4500 S
Ste 202
Salt Lake City, UT 84117
Mailing address
1548 E 4500 S
Ste 202
Salt Lake City, UT 84117
Phone (801) 266-8841
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- 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
- Dermatology
- Education
- Wayne State University School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1548 E 4500
Suite 202
Salt Lake City, UT 84117-5209
Phone (801) 266-8841
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.67 of 100
- Quality
- 96.5
- Promoting interoperability
- 84
- Improvement activities
- 40
- Cost
- 89.08
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 22 |
| Removal of skin lesions | 1029 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 208 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301105645 | MI | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woseth Dermatology, P.C. | Current | Accepting new patients |
Locations
1548 E 4500 S
Ste 202
Millcreek, UT 84117
Phone (801) 266-8841
4040 W Daybreak Pkwy
Ste 200
South Jordan, UT 84009
Phone (801) 266-1474
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553212800000",
"number": "1659785194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1548 E 4500 S",
"address_2": "STE 202",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84117",
"telephone_number": "801-266-8841",
"fax_number": "801-266-0449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1548 E 4500 S",
"address_2": "STE 202",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84117",
"telephone_number": "801-266-8841",
"fax_number": "801-266-0449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADJICHARALAMBOUS",
"first_name": "ELENA",
"middle_name": "MARGARITE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-12",
"last_updated": "2019-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "UT",
"license": "10677587-1205",
"primary": true
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MI",
"license": "4301105645",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "UT",
"license": "10677587-1205",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; 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.