ELIZABETH PRUSAK M.D.
NPI 1255514386
Obstetrics & Gynecology in Burlington, MA

Q: What is Elizabeth Prusak's NPI number?

The NPI number for Elizabeth Prusak is 1255514386. It was assigned to this individual provider in the NPPES registry on December 12, 2007.

Q: What is Elizabeth Prusak's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Prusak was last updated on January 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 12, 2007PECOS Enrolled

41 MALL RD, BURLINGTON, MA 01805(781) 744-5100 Get Directions Write a Review

NPPES record last updated: January 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Elizabeth Prusak M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH PRUSAK M.D. (NPI 1255514386) is an individual obstetrics & gynecology provider in Burlington, Massachusetts, licensed in Indiana (01083083A) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255514386

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameELIZABETH PRUSAKCredential: M.D.

Location Address41 MALL RDBurlington, MA 01805-0001

Mailing Address3403 E Raymond StIndianapolis, IN 46203-4744 · (317) 957-2000 · Fax (317) 957-2050

Phone(781) 744-5100

Sole ProprietorNo

Enumeration DateDecember 12, 2007

Last NPPES UpdateJanuary 16, 2020

✔ NPI 1255514386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in IN · 01083083A

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License 242943 (MA)

41 MALL RD, Burlington, MA 01805

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Other Identifiers 1

Medicaid110086089AMA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Prusak M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$144.11 typical visit price

range $63.72 – $189.86

Typical copayment $36.02 (range $15.93 – $47.46)

Most-billed visit code 99204

Established Patient

$78.84 typical visit price

range $21.07 – $155.29

Typical copayment $19.71 (range $5.26 – $38.82)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAHOOR KHAN

Internal Medicine (Interventional Cardiology)