PHILIP S ELLERIN MD
NPI 1619067816
Dermatology in Burlington, MA
NPI Status: Active since October 16, 2006
Contact Information
172 CAMBRIDGE STREET
SUITE 204
BURLINGTON, MA
ZIP 01803
Phone: (781) 272-7022
Fax: (781) 272-8786
- Individual
- Male
- Dermatology
- Medicare Quality Reporting
About PHILIP ELLERIN
This page provides the complete NPI Profile along with additional information for Philip Ellerin, a provider established in Burlington, Massachusetts with a medical specialization in Dermatology. The healthcare provider is registered in the NPI registry with number 1619067816 assigned on October 2006. The practitioner's primary taxonomy code is 207N00000X with license number 29481 (MA). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1619067816
- Provider Name
- PHILIP S ELLERIN MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 172 CAMBRIDGE STREET SUITE 204 BURLINGTON, MA 01803
- Location Phone
- (781) 272-7022
- Location Fax
- (781) 272-8786
- Mailing Address
- 172 CAMBRIDGE STREET SUITE 204 BURLINGTON, MA 01803
- Mailing Phone
- (781) 272-7022
- Mailing Fax
- (781) 272-8786
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-16-2006
- Last Update Date
- 06-18-2015
- Code Navigator
A dermatologist like Philip Ellerin is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dermatology
- Taxonomy Code
- 207N00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 29481
- License State
- MA
- Taxonomy Description
- A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4139 | OTHER (01) | MA | HARVARD PILGRIM HEALTH |
| 709176 | OTHER (01) | MA | TUFTS HEALTH PLAN |
| 03-00053 | OTHER (01) | MA | UNITED HEALTHCARE |
| B27122 | OTHER (01) | MA | BLUE CROSS BLUE SHIELD |
| BX0130 | MEDICARE PIN (08) | MA | |
| A34757 | MEDICARE UPIN (02) | MA | |
| 1154420008 | OTHER (01) | MA | MEDICARE - GROUP |
| M12131 | OTHER (01) | MA | PTAN |
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
| • Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 1 | 9 | 0 | 6 | 7 | 8 | 1 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 2 | 9 | 0 | 6 | 14 | 8 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 2 + 9 + 0 + 6 + 1 + 4 + 8 + 2 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1619067816 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1104822428 | ROBERT JOHNSON OD Individual | Optometrist | 172 CAMBRIDGE STREET BURLINGTON, MA 01803 (781) 272-4944 |
| 1902846892 | DR. ROBERT SYLVAN STIPEK DPM Individual | Podiatrist | 172 CAMBRIDGE STREET SUITE 204 BURLINGTON, MA 01803 (781) 272-5484 |
| 1437154416 | ROBIN F STEINBERG MD Individual | Ophthalmology | 172 CAMBRIDGE STREET BURLINGTON, MA 01803 (781) 272-4944 |
| 1609870674 | DEBORAH E ZUCKERMAN MD Individual | Ophthalmology | 172 CAMBRIDGE STREET BURLINGTON, MA 01803 (781) 272-4944 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619067816, enumerated in the NPI registry as an "individual" on October 16, 2006
The provider is located at 172 Cambridge Street Suite 204 Burlington, Ma 01803 and the phone number is (781) 272-7022
The provider's speciality is Dermatology with taxonomy code 207N00000X
The provider might be accepting Accepts: Medicare, Medicaid, Tufts Health Plan and Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on October 16, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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