Individual provider Active NPI

Brooke Christine Sikora, M.D.

  • Dermatology Physician
  • Chestnut Hill, MA
National Provider Identifier
1760682553
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
245944 Issued in MA
Practice address
1244 Boylston St
Suite 302
Chestnut Hill, MA 02467
Phone
(617) 848-1619
Fax
(617) 731-1601
NPI assigned
Jul 20, 2007
Last updated
Jun 12, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 245944 MA Primary

Addresses

Primary practice location

1244 Boylston St
Suite 302
Chestnut Hill, MA 02467

Mailing address

1244 Boylston St
Suite 103
Chestnut Hill, MA 02467-2116
Phone (617) 848-1633

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
I20110404000391 MA Practitioner - Dermatology 2961528187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Emory University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skincare Physicians IncGroup PAC ID 6800791450, 17 clinicians

Practice addresses (Care Compare)

1244 Boylston St
Suite 103
Chestnut Hill, MA 02467-2115
Phone (617) 848-1611

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions418
Removal or shaving of skin growth1-10
Skin biopsy28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
245944MAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skincare Physicians Inc Dermatology CurrentSince Feb 15, 2011 Accepting new patients
Skincare Physicians St Elizabeths Inc Dermatology PastSince Feb 15, 2011 Accepting new patients
Skincarephysicians Dermatology Past Accepting new patients

Locations

1244 Boylston St
Ste 103
Chestnut Hill, MA 02467
Phone (617) 731-1600

1244 Boylston St
Ste 302
Chestnut Hill, MA 02467
Phone (617) 731-1600

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, 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": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1760682553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 BOYLSTON ST",
            "address_2": "SUITE 103",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672116",
            "telephone_number": "617-848-1633",
            "fax_number": "617-731-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 BOYLSTON ST",
            "address_2": "SUITE 302",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "02467",
            "telephone_number": "617-848-1619",
            "fax_number": "617-731-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIKORA",
        "first_name": "BROOKE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "245944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestnut Hill, MA

Sources for this page

Verify at the official NPI Registry.