Organization Active NPI

Dr Tola Tsarumi MD LLC

  • Family Nurse Practitioner
  • Wellesley, MA
National Provider Identifier
1013620525
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
DR TOLA TSARUMI MD LLC
Practice address
332 Washington St Ste 360
Wellesley, MA 02481-6204
Phone
(617) 668-1239
NPI assigned
Dec 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Omotola Tsarumi, MDNPI 1710369376
Title
Owner
Phone
(917) 870-1596

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

332 Washington St Ste 360
Wellesley, MA 02481-6204

Mailing address

332 Washington St Ste 360
Wellesley, MA 02481-6204
Phone (617) 668-1239

Other practice location 1

5605 Westerville Rd Ste C
Westerville, OH 43081-8301
Phone (844) 777-9246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230831001189 MA Part B Supplier - Clinic/Group Practice 9739542234 Receives reassigned benefits from 1 practitioner
Practice locations: Belmont, MA; Wellesley, MA
O20231009000598 OH Part B Supplier - Clinic/Group Practice 9739542234 Receives reassigned benefits from 1 practitioner
Practice locations: Westerville, OH

National Provider Directory

National Provider Directory

Locations

332 Washington St
Ste 360
Wellesley Hills, MA 02481
Phone (617) 668-1239

5605 Westerville Rd
Ste C
Westerville, OH 43081
Phone (844) 777-9246

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765238400000",
    "number": "1013620525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 WASHINGTON ST STE 360",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024816204",
            "telephone_number": "617-668-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 WASHINGTON ST STE 360",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024816204",
            "telephone_number": "617-668-1239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5605 Westerville Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430818301",
            "country_code": "US",
            "telephone_number": "844-777-9246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR TOLA TSARUMI MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-29",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A",
        "authorized_official_last_name": "TSARUMI",
        "authorized_official_first_name": "OMOTOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-870-1596",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.