ELISHA M WACHMAN MD
NPI 1922263490
Pediatrics - Neonatal-Perinatal Medicine in Boston, MA

Q: What is Elisha Wachman's NPI number?

The NPI number for Elisha Wachman is 1922263490. It was assigned to this individual provider in the NPPES registry on July 24, 2008.

Q: What is Elisha Wachman's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Elisha Wachman was last updated on April 23, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 24, 2008PECOS Enrolled

840 HARRISON AVE, MENINO 3, BOSTON, MA 02118(617) 414-4359(617) 414-4361 Get Directions Write a Review

NPPES record last updated: April 23, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Elisha M Wachman Md NPPES

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

ELISHA M WACHMAN MD (NPI 1922263490) is an individual neonatal-perinatal medicine provider in Boston, Massachusetts, licensed in Massachusetts (238930) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922263490

Entity TypeIndividualFemale

Primary Taxonomy2080N0001X

Provider Legal NameELISHA M WACHMANCredential: MD

Location Address840 HARRISON AVE, MENINO 3Boston, MA 02118-2905

Mailing Address720 Harrison Ave, Dob 503Boston, MA 02118-2371

Phone(617) 414-4359

Fax(617) 414-4361

Sole ProprietorNo

Enumeration DateJuly 24, 2008

Last NPPES UpdateApril 23, 2014

✔ NPI 1922263490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in MA · 238930

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedPediatricsTaxonomy 208000000X · License 229416 (MA)

840 HARRISON AVE, Boston, MA 02118

Open in Google Maps ↗

Other Identifiers 2

Medicare PIN001146303MA

Medicaid110082310AMA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elisha M Wachman Md 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.