Elliot L Chaikof, MD
Individual provider Active NPI Vascular Surgery Physician · Boston, MA
NPI 1982662995 · NPPES record last updated Apr 4, 2011
Key facts
- NPI
- 1982662995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular Surgery Physician 2086S0129X
- License
- 55211 (MA)
- Practice address
- 110 Francis St
Suite 9F
Boston, MA 02215-5501 - Phone
- (617) 632-9581
- Fax
- (617) 632-9701
- NPI assigned
- May 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 15
Hospital & facility affiliations 1
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Vascular Surgery
- Education
- Johns Hopkins University School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc
Practice addresses (Care Compare)
330 Brookline Ave
Boston, MA 02215-5400
Phone (617) 667-7000
Hospital & facility affiliations
- Beth Israel Deaconess Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Beth Israel Deaconess Medical Center Inc |
Hospital | Corporate Director | Oct 1, 2010 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101109001493 | MA | Practitioner - Vascular Surgery |
1052424769 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55211 | MA | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beth Israel Deaconess Medical Center, Inc. | Current |
Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current |
Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current |
Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Vascular Surgery | Current |
Accepting new patients |
| Beth Israel Deaconess Medical Center, Inc. | Current |
Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Vascular Surgery | Current |
Accepting new patients |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Past | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Past | Accepting new patients |
Locations
110 Francis St
Ste 5B
Boston, MA 02215
Phone (617) 632-9959
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000
330 Brookline Ave
#2
Boston, MA 02215
Phone (617) 632-8383
110 Francis St
Ste 9F
Boston, MA 02215
Phone (617) 632-9581
Interoperability endpoints
- echaikof254025@direct.bilh.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 55211 | MA | Yes |
Addresses
Primary practice location
110 Francis St
Suite 9F
Boston, MA 02215-5501
Mailing address
110 Francis St
Suite 9F
Boston, MA 02215-5501
Phone (617) 632-9581
Other providers in Boston, MA
- Suzanne M Chai
- Toby Chai
- Thitaya Chaiboonyarak
- Minoo Chaichian
- Barry Paul Chaiken
- Gabriel Simon Chain
- Christopher William Chaisson
- Daniel Chait
- Alexander Chaitoff
- Shaleen Chakyayil
All providers in Boston, MA · Vascular Surgery Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.