Active NPI
Nelson Palarpalar Tamala Jr., FNP-BC
- Family Nurse Practitioner
- Chicago Ridge, IL
National Provider Identifier
1043762453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 277001972
- Practice address
- 10450 Southwest Hwy Apt 1K
Chicago Ridge, IL 60415-1465 - Phone
- (708) 465-7036
- NPI assigned
- Nov 2, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 277001972 | IL | |
| Family Nurse Practitioner | 363LF0000X | 277001972 | IL | Primary |
Addresses
Primary practice location
10450 Southwest Hwy Apt 1K
Chicago Ridge, IL 60415-1465
Mailing address
10450 Southwest Hwy Apt 1K
Chicago Ridge, IL 60415-1465
Phone (708) 465-7036
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- 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 |
|---|---|---|---|---|
| I20170112000123 | IL | Practitioner - Nurse Practitioner | 5698056372 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 277001972 | IL | MD | Family Nurse Practitioner |
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.
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 23.76 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 79.19
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774483200000",
"number": "1043762453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10450 SOUTHWEST HWY APT 1K",
"city": "CHICAGO RIDGE",
"state": "IL",
"postal_code": "604151465",
"telephone_number": "708-465-7036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10450 SOUTHWEST HWY APT 1K",
"city": "CHICAGO RIDGE",
"state": "IL",
"postal_code": "604151465",
"telephone_number": "708-465-7036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAMALA",
"first_name": "NELSON",
"middle_name": "PALARPALAR",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-02",
"last_updated": "2026-03-26",
"certification_date": "2026-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IL",
"license": "277001972",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "277001972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.