Active NPI
Elaine M. Rancatore, DO
- Emergency Medicine Physician
- Waltham, MA
National Provider Identifier
1699744334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 268584
- Practice address
- 415 South St
Waltham, MA 02453-2728 - Phone
- (781) 736-3677
- NPI assigned
- Mar 15, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OS5701 | FL | |
| Emergency Medicine Physician | 207P00000X | 268584 | MA | Primary |
Addresses
Primary practice location
415 South St
Waltham, MA 02453-2728
Mailing address
46 Wilmot Rd
Waltham, MA 02453-6702
Phone (954) 614-4414
Other practice location 1
1613 Harrison Pkwy
#200
Sunrise, FL 33323-2853
Phone (954) 838-2371
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 373774800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS5701 | FL | MD | Emergency Medicine Physician |
| 268584 | MA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Naples Emergency Physicians LLC | Single Specialty | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646265600000",
"number": "1699744334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 WILMOT RD",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024536702",
"telephone_number": "954-614-4414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 SOUTH ST",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024532728",
"telephone_number": "781-736-3677"
}
],
"practiceLocations": [
{
"address_1": "1613 Harrison Pkwy",
"address_2": "#200",
"address_purpose": "LOCATION",
"city": "Sunrise",
"state": "FL",
"postal_code": "333232853",
"country_code": "US",
"telephone_number": "954-838-2371",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RANCATORE",
"first_name": "ELAINE",
"middle_name": "M.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-15",
"last_updated": "2022-03-03",
"certification_date": "2022-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "OS5701",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "MA",
"license": "268584",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "373774800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.