ELLEN S LATHI MD NPI 1740276674

Psychiatry & Neurology (Neurology) in Wellesley, MA

NPI 1740276674 Individual Female Years of Experience 45 Psychiatry & Neurology Neurology PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About ELLEN LATHI

Ellen Lathi is a provider established in Wellesley, Massachusetts and her medical specialization is psychiatry & neurology (neurology) with more than 45 years of experience. She graduated from State University Of Ny Upstate Medical University in 1976. The NPI number of Ellen Lathi is 1740276674 and was assigned on September 2005. The practitioner's primary taxonomy code is 2084N0400X with license number 41279 (MA). The provider is registered as an individual and her NPI record was last updated 4 years ago.

Ellen Lathi is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Ellen Lathi is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with St Elizabeth's Medical Center.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: care plan and preventive care and screening: body mass index (bmi) screening and follow-up plan. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1740276674

Provider Name ELLEN S LATHI MD
Provider Location Address110 CEDAR ST STE 110 WELLESLEY, MA 02481
Provider Mailing Address110 CEDAR ST STE 110 WELLESLEY, MA 02481
GenderFemale
NPI Entity TypeIndividual
Medical School NameSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduation Year1976
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date09-26-2005
Last Update Date07-25-2017


Primary Taxonomy

Taxonomy Code2084N0400X
ClassificationPsychiatry & Neurology
TypeAllopathic & Osteopathic Physicians
SpecializationNeurology
License No.41279
License StateMA
Taxonomy DescriptionA Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Business Address

ELLEN S LATHI MD
110 CEDAR ST
STE 110
WELLESLEY, MA
ZIP 02481
Phone: (781) 591-8300
Fax: (781) 591-8320

Get Directions


Mailing Address

ELLEN S LATHI MD
110 CEDAR ST
STE 110
WELLESLEY, MA
ZIP 02481
Phone: (781) 591-8300



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID7517997422
PECOS Enrollment IDI20050819000179
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 214Infusion of chemotherapy into a vein up to 1 hour (HCPCS:96413)

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. 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 Rate Number of Patients
Care Plan 100% 44
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 100% 97
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Ellen Lathi is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
ST ELIZABETH'S MEDICAL CENTER736 CAMBRIDGE STREET
BRIGHTON, MA 2135
(617) 789-3000Acute Care Hospitals220036

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
0104825MEDICAID (05)MA
E05184MEDICARE ID-TYPE UNSPECIFIED (04)MA
B77199MEDICARE UPIN (02)

Other Providers at the same location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1275528192 KENNETH C GORSON MD
Individual
Psychiatry & Neurology (Neurology)110 CEDAR ST
WELLESLEY, MA 02481
(781) 591-8300
1588196380 SHAHANA SHAIKH
Individual
Behavior Analyst110 CEDAR ST
WELLESLEY, MA 02481
(617) 916-5573
1306210422THE ELLIOT LEWIS CENTER FOR MULTIPLE SCLEROSIS CARE LLC
Organization
Psychiatry & Neurology (Neurology)110 CEDAR ST SUITE 110
WELLESLEY, MA 02481
(781) 591-8300
1861927394 KATHERINE GREENE
Individual
Behavior Technician110 CEDAR ST SUITE 10
WELLESLEY, MA 02481
(617) 902-8393
1245766203 MELANIE BOYAC
Individual
Behavior Technician110 CEDAR ST
WELLESLEY, MA 02481
(617) 902-8393
1528584125 JESSICA MARIE EGAN
Individual
Developmental Therapist110 CEDAR ST
WELLESLEY, MA 02481
1194230276 KRISTINA WALLIN
Individual
Behavior Technician110 CEDAR ST
WELLESLEY, MA 02481
(617) 902-8393
1518474782 LAUREN GAYDOSH
Individual
Behavior Technician110 CEDAR ST
WELLESLEY, MA 02481
(617) 467-4136
1912552175 KELLY ANN DOHERTY
Individual
Behavior Technician110 CEDAR ST
WELLESLEY, MA 02481
(617) 467-4136
1154978336 NAOMI REED
Individual
Behavior Analyst110 CEDAR ST
WELLESLEY, MA 02481
(617) 467-4136
1336752112 EMILY BLAKE
Individual
Behavior Analyst110 CEDAR ST
WELLESLEY, MA 02481
(508) 322-0323

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.