Individual provider Active NPI

Sharon L Zellis, DO

  • Dermatology Physician
  • Phoenixville, PA
National Provider Identifier
1801877279
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OS006935L Issued in PA
Practice address
1260 Valley Forge Rd
Ste 101
Phoenixville, PA 19460-2691
Phone
(610) 983-3980
Fax
(610) 983-3406
NPI assigned
Nov 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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 OS006935L PA Primary

Addresses

Primary practice location

1260 Valley Forge Rd
Ste 101
Phoenixville, PA 19460-2691

Mailing address

1260 Valley Forge Rd
Ste 101
Phoenixville, PA 19460-2691
Phone (610) 983-3980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040714001359 PA Practitioner - Dermatology 8325027386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Philadelphia College of Osteopathic Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1260 Valley Forge Rd
Suite 101
Phoenixville, PA 19460-2691
Phone (610) 983-3980

Merit-based Incentive Payment System (MIPS)

Final score
87.17 of 100Reported as individual
Quality
76.67
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1446
Removal or shaving of skin growth1-10
Skin biopsy826

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenixville & Valley Forge Dermatology Associates, PC. Dermatology CurrentSince Sep 1, 1997 Accepting new patients

Locations

1260 Valley Forge Rd
Ste 101
Phoenixville, PA 19460
Phone (610) 983-3980

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1801877279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 VALLEY FORGE RD",
            "address_2": "STE 101",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194602691",
            "telephone_number": "610-983-3980",
            "fax_number": "610-983-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 VALLEY FORGE RD",
            "address_2": "STE 101",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194602691",
            "telephone_number": "610-983-3980",
            "fax_number": "610-983-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELLIS",
        "first_name": "SHARON",
        "middle_name": "L",
        "name_prefix": "Miss",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-10",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "OS006935L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenixville, PA

Sources for this page

Verify at the official NPI Registry.