NPIMap

Individual provider Active NPI

Ara Leon Tachjian, MD

  • Cardiovascular Disease Physician
  • Warwick, RI
National Provider Identifier
1063790061
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
261135 Issued in MA
Practice address
455 Toll Gate Rd
Ambulatory Services Pavillion
Warwick, RI 02886-2759
Phone
(401) 681-4996
Fax
(401) 921-6569
NPI assigned
Jul 26, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 248187 MA
Cardiovascular Disease Physician 207RC0000X 261135 MA Primary

Addresses

Primary practice location

455 Toll Gate Rd
Ambulatory Services Pavillion
Warwick, RI 02886-2759

Mailing address

455 Toll Gate Rd
Ambulatory Services Pavillion
Warwick, RI 02886-2759
Phone (401) 681-4996

Other practice location 1

75 Francis St
Boston, MA 02115-6110
Phone (857) 307-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170724000622 RI Practitioner - Cardiovascular Disease (Cardiology) 5092931436 Reassigns benefits to 1 organization
I20170914000095 MA Practitioner - Cardiovascular Disease (Cardiology) 5092931436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affinity Physicians LLC.Group PAC ID 0244413391, 723 clinicians

Practice addresses (Care Compare)

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
248187MAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kent County Memorial Hospital CurrentSince Sep 22, 2017 Accepting new patients
Brigham & Womens Physicians Organization Inc CurrentSince Sep 5, 2017 Accepting new patients
Affinity Physicians LLC CurrentSince Aug 1, 2017 Accepting new patients
Brigham and Women's Hospital Current Accepting new patients
Affinity Physicians LLC. Cardiovascular Disease CurrentSince Aug 1, 2017 Accepting new patients
Kent County Memorial Hospital Cardiovascular Disease CurrentSince Sep 22, 2017 Accepting new patients
Brigham and Womens Physicians Organization Inc Past Accepting new patients

Locations

75 Francis St
Boston, MA 02115

375 Boylston St
Brookline, MA 02445
Phone (508) 718-4010

345 Blackstone Blvd
Providence, RI 02906
Phone (401) 455-6375

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

Interoperability endpoints

  • Direct secure messaging: atachjian@direct.carene.org
  • Direct secure messaging: tachjian.ara.bwh@direct.partners.masshiway.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1063790061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 TOLL GATE RD",
            "address_2": "AMBULATORY SERVICES PAVILLION",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862759",
            "telephone_number": "401-681-4996",
            "fax_number": "401-921-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 TOLL GATE RD",
            "address_2": "AMBULATORY SERVICES PAVILLION",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862759",
            "telephone_number": "401-681-4996",
            "fax_number": "401-921-6569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Francis St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021156110",
            "country_code": "US",
            "telephone_number": "857-307-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TACHJIAN",
        "first_name": "ARA",
        "middle_name": "LEON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "248187",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "261135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.