NPIMap

Individual provider Active NPI

Elisa A. F. Mulcahy, MD

  • Internal Medicine Physician
  • Brockton, MA
National Provider Identifier
1952397176
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
223558 Issued in MA
Practice address
1 Pearl St
Suite 2200
Brockton, MA 02301-2864
Phone
(508) 897-6150
Fax
(508) 897-6155
NPI assigned
Sep 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 223558 MA Primary

Addresses

Primary practice location

1 Pearl St
Suite 2200
Brockton, MA 02301-2864

Mailing address

1 Pearl St
Suite 2200
Brockton, MA 02301-2864
Phone (508) 897-6150

Other identifiers 1

IdentifierTypeStateIssuer
2101734MedicaidMA

Other names 1

  • Elisa A Freeman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050914000675 MA Practitioner - Internal Medicine 1759314347 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Massachusetts Medical School, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Revere Medical of Massachusetts PCGroup PAC ID 0749715795, 113 clinicians

Practice addresses (Care Compare)

1 Pearl St
Suite 2200
Brockton, MA 02301-2874
Phone (508) 897-6050

Hospital & facility affiliations

  • Brockton Vna Home health agency, Brockton, MA, CCN 227006
  • Caretenders Home health agency, Needham Heights, MA, CCN 227269
  • Accentcare Home Health of Massachusetts Home health agency, Fall River, MA, CCN 227203
  • Amedisys Home Health Care Home health agency, Wakefield, MA, CCN 227211
  • Old Colony Hospice, Inc Hospice, W Bridgewater, MA, CCN 221514
  • Good Samaritan Medical Center Hospital, Brockton, MA, CCN 220111
  • South Shore Hospital Hospital, South Weymouth, MA, CCN 220100
  • Signature Healthcare Brockton Hospital Hospital, Brockton, MA, CCN 220052
  • Brown University Health Morton Hospital Hospital, Taunton, MA, CCN 220073
  • Brigham and Women Faulkner Hospital Hospital, Jamaica Plain, MA, CCN 220119

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
223558MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Revere Medical of Massachusetts, PC Internal Medicine CurrentSince Nov 12, 2024 Accepting new patients
Steward Medical Group, Inc CurrentSince Dec 1, 2011 Accepting new patients
Steward Medical Group, Inc CurrentSince Dec 1, 2011 Accepting new patients
Good Samaritan Medical Practice Corp Past Accepting new patients
Bridgewater Pediatrics LLC Past Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

1 Pearl St
Ste 2200
Brockton, MA 02301
Phone (508) 897-6150

1 Pearl St
Ste 1000
Brockton, MA 02301
Phone (508) 897-6050

62 Brown St
#507
Haverhill, MA 01830
Phone (978) 722-7818

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

Interoperability endpoints

  • Direct secure messaging: elisa.mulcahy.1@32866.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313452800000",
    "number": "1952397176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PEARL ST",
            "address_2": "SUITE 2200",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012864",
            "telephone_number": "508-897-6150",
            "fax_number": "508-897-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PEARL ST",
            "address_2": "SUITE 2200",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012864",
            "telephone_number": "508-897-6150",
            "fax_number": "508-897-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULCAHY",
        "first_name": "ELISA",
        "middle_name": "A. F.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-22",
        "last_updated": "2011-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "223558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2101734",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISA",
            "last_name": "FREEMAN",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.