Active NPI
Madeline Tam Chow, NP
- Gerontology Nurse Practitioner
- Berkeley, CA
National Provider Identifier
1023031655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 10811
- Practice address
- 1510 4TH St
Suite 1
Berkeley, CA 94710-1717 - Phone
- (510) 525-8980
- Fax
- (510) 525-8982
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 10811 | CA | Primary |
Addresses
Primary practice location
1510 4TH St
Suite 1
Berkeley, CA 94710-1717
Mailing address
1510 4TH St
Suite 1
Berkeley, CA 94710-1717
Phone (510) 525-8980
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP0108110 | Medicaid | CA |
Other names 1
- Miss Madeline Tam
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241204003352 | CA | Order and Referring Only - Nurse Practitioner | 8628008380 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gerihealthsolutions, Inc. | Gerontology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1023031655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 4TH ST",
"address_2": "SUITE 1",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947101717",
"telephone_number": "510-525-8980",
"fax_number": "510-525-8982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 4TH ST",
"address_2": "SUITE 1",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947101717",
"telephone_number": "510-525-8980",
"fax_number": "510-525-8982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOW",
"first_name": "MADELINE",
"middle_name": "TAM",
"name_prefix": "Miss",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CA",
"license": "10811",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP0108110",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MADELINE",
"last_name": "TAM",
"prefix": "MISS",
"credential": "N.P.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.