Individual provider Active NPI

Neil Houston, MD

  • Dermatology Physician
  • Brookline, MA
National Provider Identifier
1730619925
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
289594 Issued in MA
Practice address
1101 Beacon St # 1E
Brookline, MA 02446-5587
Phone
(617) 731-2390
NPI assigned
Jun 19, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207N00000X 289594 MA Primary

Addresses

Primary practice location

1101 Beacon St # 1E
Brookline, MA 02446-5587

Mailing address

1101 Beacon St # 1E
Brookline, MA 02446-5587
Phone (671) 731-2390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20211013000223 MA Practitioner - Dermatology 3577832872 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Pittsburgh School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Dermatology of Brookline LLCGroup PAC ID 5890028070, 6 clinicians
Integrated Dermatology of Worcester II LLCGroup PAC ID 0042616153, 2 clinicians

Practice addresses (Care Compare)

1101 Beacon St
Brookline, MA 02446-5587
Phone (617) 731-2390

255 Park Ave
Suite 509
Worcester, MA 01609-1989
Phone (508) 890-5500

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions725
Skin biopsy228

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alan Rockoff, M.D, LLC Single Specialty CurrentSince Sep 8, 2021 Accepting new patients
Integrated Dermatology of Brookline, LLC Single Specialty CurrentSince Sep 8, 2021 Accepting new patients
Integrated Dermatology of Worcester II LLC Single Specialty CurrentSince Aug 1, 2024 Accepting new patients

Locations

28 Andover St
Ste 1R
Andover, MA 01810
Phone (210) 861-4426

28 Andover St
Ste 235
Andover, MA 01810
Phone (978) 475-9230

28 Andover St
Andover, MA 01810
Phone (978) 475-6622

1101 Beacon St
Ste 1W
Brookline, MA 02446
Phone (617) 731-2390

1101 Beacon St
Ste 1E
Brookline, MA 02446
Phone (617) 731-2390

1101 Beacon St
#1E
Brookline, MA 02446
Phone (617) 731-2390

405 Grove St
Ste 304
Worcester, MA 01605
Phone (508) 762-9136

255 Park Ave
Ste 509
Worcester, MA 01609
Phone (508) 754-7799

Organizations & group practices 3

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": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1730619925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 BEACON ST # 1E",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465587",
            "telephone_number": "671-731-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 BEACON ST # 1E",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465587",
            "telephone_number": "617-731-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSTON",
        "first_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-19",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "MA",
            "license": "289594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.