Active NPI
Eliot Marc Gelwan, MD
- Psychiatry Physician
- Belmont, MA
National Provider Identifier
1700952702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 53266
- Practice address
- 115 Mill St # Ab335
Belmont, MA 02478-1048 - Phone
- (617) 855-3872
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 53266 | MA | Primary |
Addresses
Primary practice location
115 Mill St # Ab335
Belmont, MA 02478-1048
Mailing address
82 Perry St
Brookline, MA 02446-6907
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3014827 | Medicaid | MA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eliot@gelwan.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The McLean Hospital Corporation | Psychiatry | Current | Accepting new patients |
| DHHS, PHS, Naihs, Shiprock Hospital | Current | Accepting new patients | |
| Emerson Practice Associates, Inc. | Current | Accepting new patients | |
| DHHS, PHS, Naihs, Shiprock Hospital | Current | Accepting new patients | |
| The McLean Hospital Corporation | Past | Accepting new patients | |
| Emerson Hospital | Past | Accepting new patients |
Locations
115 Mill St
Belmont, MA 02478
Phone (617) 855-2000
115 Mill St
#335
Belmont, MA 02478
Phone (617) 855-3872
133 Ornac
Concord, MA 01742
Phone (978) 287-3000
133 Ornac
#5
Concord, MA 01742
Interoperability endpoints
- gelwan.eliot.mcl@direct.partners.masshiway.net
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Concord, MA
- NPI 1508020199
-
- Psychiatry Physician
- Belmont, MA
- NPI 1114979580
-
- General Acute Care Hospital
- Teecnospos, AZ
- NPI 1477615789
-
- General Acute Care Hospital
- Concord, MA
- NPI 1922103357
-
- Clinical Psychologist
- Belmont, MA
- NPI 1538185475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666051200000",
"number": "1700952702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 PERRY ST",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024466907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 MILL ST # AB335",
"city": "BELMONT",
"state": "MA",
"postal_code": "024781048",
"telephone_number": "617-855-3872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GELWAN",
"first_name": "ELIOT",
"middle_name": "MARC",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "53266",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3014827",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "eliot@gelwan.com",
"affiliation": "N",
"endpointDescription": "Encrypted email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "freetext",
"address_1": "115 Mill St # Ab335",
"city": "Belmont",
"state": "MA",
"country_code": "US",
"postal_code": "024781048",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Belmont, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.