Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Elise Marie Henricks, MD

Individual provider Family Medicine Physician · NPI 1154392850

Dr. Elise Marie Henricks, MD is a Family Practice in Dorchester, Massachusetts. Graduated from University of Rochester School of Medicine and Dentistry in 1995, 31 years ago. Practices with Uphams Corner Health Committee Inc, a 27-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
31
Trained at
University of Rochester School of Medicine and Dentistry
Licensed in
MA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

415 Columbia Rd
Dorchester, MA 02125-2424
Phone: (617) 740-8075
Fax: (617) 740-8060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 156706 (MA)

Record details

NPI number1154392850
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 30, 2006
Last updated in NPPESJanuary 9, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Graduated 1995 (31 years in practice)
Group practice Uphams Corner Health Committee Inc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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