Active NPI
Elena R Farrell, DO
- Ophthalmology Physician
- Harrisburg, PA
National Provider Identifier
1932198504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 0S008191L
- Practice address
- 4386 Sturbridge Drive
Suite 1
Harrisburg, PA 17110-3668 - Phone
- (717) 652-4924
- Fax
- (717) 652-1015
- NPI assigned
- Oct 17, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 0S008191L | PA | Primary |
Addresses
Primary practice location
4386 Sturbridge Drive
Suite 1
Harrisburg, PA 17110-3668
Mailing address
4386 Sturbridge Drive
Harrisburg, PA 17110
Phone (717) 652-4924
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1412549 | Other | KEYSTONE SR BLUE | |
| 27085 | Other | HEALTH GUARD | |
| 392493 | Other | NVA DOC | |
| 50003172 | Other | CAPITAL BLUE CROSS | |
| 5766476 | Other | AETNA | |
| 202749 | Other | COVENTRY | |
| 39808 | Other | GEISINGER | |
| 1412549 | Other | BLUE SHIELD | |
| PA8191 | Other | EYE MED | |
| 167531 | Other | UNISON | |
| PO36061 | Other | CHAMPUS |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060928000112 | PA | Practitioner - Ophthalmology | 0345245247 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 22.97 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 76.56
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0S008191L | PA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Farrell Aquisition Corporation | Past | Accepting new patients |
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.
-
- Eyewear Supplier
- Harrisburg, PA
- NPI 1013998079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932198504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4386 STURBRIDGE DRIVE",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "17110",
"telephone_number": "717-652-4924",
"fax_number": "717-652-1015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4386 STURBRIDGE DRIVE",
"address_2": "SUITE 1",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171103668",
"telephone_number": "717-652-4924",
"fax_number": "717-652-1015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRELL",
"first_name": "ELENA",
"middle_name": "R",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PA",
"license": "0S008191L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE SR BLUE",
"identifier": "1412549",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH GUARD",
"identifier": "27085",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NVA DOC",
"identifier": "392493",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50003172",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5766476",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "202749",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER",
"identifier": "39808",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "1412549",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYE MED",
"identifier": "PA8191",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON",
"identifier": "167531",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "PO36061",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.