NPIMap

Organization Active NPI

Krauss Dermatology PC

  • Dermatology Physician
  • Wellesley, MA
National Provider Identifier
1962524629
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
KRAUSS DERMATOLOGY PC
Practice address
1 Washington St
Suite 401
Wellesley, MA 02481-1711
Phone
(781) 416-3500
Fax
(781) 416-3505
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Authorized official

Name
Mrs. Jenna M O'Hara
Title
Office Manager
Phone
(781) 416-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

1 Washington St
Suite 401
Wellesley, MA 02481-1711

Mailing address

1 Washington St
Suite 401
Wellesley, MA 02481-1711
Phone (781) 416-3500

Other identifiers 1

IdentifierTypeStateIssuer
M19075OtherMABCBS GROUP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051121000703 MA Part B Supplier - Clinic/Group Practice 6103845094 Receives reassigned benefits from 10 practitioners
Practice locations: Wellesley Hills, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D1048319Krauss Dermatology, Inc1 Washington St, Wellesley Hills, MA 02481ComplianceFeb 23, 2028
22D2332194Krauss Dermatology1 Washington St Suite 401, Wellesley Hills, MA 02481Provider-performed microscopyOct 14, 2027

National Provider Directory

National Provider Directory

Locations

1 Washington St
Ste 401
Wellesley Hls, MA 02481
Phone (781) 416-3500

Interoperability endpoints

  • Direct secure messaging: lacomis.ellen.mkdmd@direct.partners.masshiway.net
  • Direct secure messaging: droms.rebecca.mkdmd@direct.partners.masshiway.net
  • Direct secure messaging: wise.emily.mkdmd@direct.partners.masshiway.net
  • Direct secure messaging: norden.pamela.mkdmd@direct.partners.masshiway.net
  • Direct secure messaging: goddard.deborah.mkdmd@direct.partners.masshiway.net
  • Direct secure messaging: mosher.jessica.mkdmd@direct.partners.masshiway.net
  • Direct secure messaging: bosworth.michael.mkdmd@direct.partners.masshiway.net

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1962524629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON ST",
            "address_2": "SUITE 401",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024811711",
            "telephone_number": "781-416-3500",
            "fax_number": "781-416-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON ST",
            "address_2": "SUITE 401",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024811711",
            "telephone_number": "781-416-3500",
            "fax_number": "781-416-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRAUSS DERMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "O'HARA",
        "authorized_official_first_name": "JENNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "781-416-3500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "M19075",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.