Individual provider Active NPI

Elena Margarite Hadjicharalambous, MD

  • Dermatology Physician
  • Salt Lake City, UT
National Provider Identifier
1659785194
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
10677587-1205 Issued in UT
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180712003600 UT Practitioner - Dermatology 9133422454 Reassigns benefits to 1 organization

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
Woseth Dermatology, P.C.Group PAC ID 1557392313, 10 clinicians

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 100Reported as group
Quality
96.5
Promoting interoperability
84
Improvement activities
40
Cost
89.08

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision22
Removal of skin lesions1029
Removal or shaving of skin growth1-10
Skin biopsy208

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301105645MIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Woseth Dermatology, P.C. CurrentSince Aug 1, 2018 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

Verify at the official NPI Registry.