Individual provider Active NPI

Taha Bali, MD

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Boston, MA
National Provider Identifier
1093967283
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
License
261171 Issued in MA
Practice address
800 Washington St
Boston, MA 02111-1552
Phone
(617) 636-5000
Fax
(617) 636-1465
NPI assigned
Oct 21, 2008
Last updated
Jul 19, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 261171 MA Primary
Neurology Physician 2084N0400X 2008013208 MO

Addresses

Primary practice location

800 Washington St
Boston, MA 02111-1552

Mailing address

1010 Massachusetts Ave Apt 52
Cambridge, MA 02138-5371
Phone (267) 455-2520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20141105001298 MA Practitioner - Neurology 8729200852 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mount Auburn Professional Services IncGroup PAC ID 6103725031, 229 clinicians
Pratt Neurology Associates IncGroup PAC ID 1456242650, 30 clinicians

Practice addresses (Care Compare)

300 Mount Auburn St
Suite 316
Cambridge, MA 02138-5665
Phone (617) 499-5095

800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
261171MAMDAddiction Medicine (Psychiatry & Neurology) Physician
2008013208MOMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mt Auburn Professional Services Neurology CurrentSince Oct 1, 2017 Accepting new patients
Pratt Neurology Associates, Inc Neurology CurrentSince Aug 15, 2016 Accepting new patients
Mount Auburn Professional Services Inc Neurology CurrentSince Oct 1, 2017 Accepting new patients
Tufts Medical Center, Inc. Past Accepting new patients

Locations

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

300 Mount Auburn St
Ste 316
Cambridge, MA 02138
Phone (617) 868-0880

57 Bedford St
Ste 130
Lexington, MA 02420
Phone (781) 484-7500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/86/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tbali255387@direct.bilh.masshiway.net
  • Direct secure messaging: tbali29056@tuftsmedicine.direct-ci.com

Organizations & group practices 4

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 2

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": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1093967283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 MASSACHUSETTS AVE APT 52",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385371",
            "telephone_number": "267-455-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111552",
            "telephone_number": "617-636-5000",
            "fax_number": "617-636-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALI",
        "first_name": "TAHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-21",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "MA",
            "license": "261171",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2008013208",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.