Philip Eliades, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

286736 Issued in MA

Practice address

115 Norwood Park S Ste 202
Norwood, MA 02062-4633

Phone

(781) 725-0505

Fax

(781) 725-0555

NPI assigned

May 26, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Specialty

Dermatology

Education

Tufts University School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.09 of 100Reported as individual

Quality

91.07

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: peliades@apderm.emadirect.md
• Direct secure messaging: peliades@vuederm.emadirect.md

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.

• Vue Dermatology & Laser, LLC

  • Dermatology Physician
  • Norwood, MA
  • NPI 1235940412
  Medicare reassignment NPD Authorized official
• Vue Dermatology & Laser, PC

  • Dermatology Physician
  • Norwood, MA
  • NPI 1740029032
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1861840290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 NORWOOD PARK S STE 202",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020624633",
            "telephone_number": "781-725-0505",
            "fax_number": "781-725-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 NORWOOD PARK S STE 202",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020624633",
            "telephone_number": "781-725-0505",
            "fax_number": "781-725-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIADES",
        "first_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-26",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "304405",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "286736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peliades@vuederm.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "EMA Direct Mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "115 Norwood Park S Ste 202",
            "city": "Norwood",
            "state": "MA",
            "country_code": "US",
            "postal_code": "020624633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Todd Egener, M.D.
• Sabrina Eichin
• Marvin Alan Eichner, DDS
• Siham Eid
• Olivia Madeline Elba
• Ellis
• Ellis Nursing Home, Inc. (Ellis Nursing & Rehabilitation)
• Ellis Nursing Home, Inc.
• Ellis Rehab and Nursing Center
• Ellis Skilled Nursing and Rehab

• Dermatology Physician in Norwood, MA
• Providers in Norwood, MA by specialty
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.