Individual provider Active NPI

Prem Krishan Tambar, M.D

  • Rheumatology Physician
  • Niagara Falls, NY
National Provider Identifier
1083792253
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
144911 Issued in NY
Practice address
151 Buffalo Ave
Suite 210
Niagara Falls, NY 14303-1243
Phone
(716) 282-3310
Fax
(716) 282-3346
NPI assigned
Nov 2, 2006
Last updated
Sep 29, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 144911 NY Primary

Addresses

Primary practice location

151 Buffalo Ave
Suite 210
Niagara Falls, NY 14303-1243

Mailing address

151 Buffalo Ave
Suite 210
Niagara Falls, NY 14303-1243
Phone (716) 282-3310

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070307000434 NY Practitioner - Internal Medicine 4880797133 Practice locations: Lockport, NY; Niagara Falls, NY; North Tonawanda, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

151 Buffalo Ave
Suite 210
Niagara Falls, NY 14303-1200
Phone (716) 282-3310

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
144911NYMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1083792253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 BUFFALO AVE",
            "address_2": "SUITE 210",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143031243",
            "telephone_number": "716-282-3310",
            "fax_number": "716-282-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 BUFFALO AVE",
            "address_2": "SUITE 210",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143031243",
            "telephone_number": "716-282-3310",
            "fax_number": "716-282-3346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMBAR",
        "first_name": "PREM",
        "middle_name": "KRISHAN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "144911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

Verify at the official NPI Registry.