Individual provider Active NPI

Tai Temple, MD

  • Internal Medicine Physician
  • Southbridge, MA
National Provider Identifier
1114971694
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
238229 Issued in MA
Practice address
100 South St
Southbridge, MA 01550-4051
Phone
(508) 765-9771
Fax
(508) 909-7735
NPI assigned
May 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 238229 MA Primary

Addresses

Primary practice location

100 South St
Southbridge, MA 01550-4051

Mailing address

PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885

Other identifiers 2

IdentifierTypeStateIssuer
4097265OtherTNBLUE CROSS
P00211999OtherTNRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090622000612 MA Practitioner - Internal Medicine 2961471883 Reassigns benefits to 6 organizations
I20240617001008 MA Practitioner - HospitalistPractitioner - Internal Medicine 2961471883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians
Henry Heywood Memorial HospitalGroup PAC ID 1658262605, 116 clinicians

Practice addresses (Care Compare)

100 S St
Southbridge, MA 01550-4051
Phone (508) 765-9771

2014 Washington St
Newton, MA 02462-1607
Phone (617) 243-6000

242 Green St
Gardner, MA 01440-1336
Phone (978) 632-3420

Hospital & facility affiliations

  • Good Shepherd Community Care Hospice, Newton, MA, CCN 221500
  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101
  • Umass Memorial Health - Harrington Hospital Hospital, Southbridge, MA, CCN 220019
  • Heywood Hospital - Hospital, Gardner, MA, CCN 220095

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Umass Memorial Medical Group Inc Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
Sound Physicians of Massachusetts II PC Internal Medicine CurrentSince Sep 1, 2018 Accepting new patients
Henry Heywood Memorial Hospital CurrentSince Feb 21, 2024 Accepting new patients
Valley Regional Hospital Inc. Internal Medicine Current Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 31, 2019 Accepting new patients
Henry Heywood Memorial Hospital Current Accepting new patients
Newton Wellesley Hospital Current Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 31, 2019 Accepting new patients
Henry Heywood Memorial Hospital CurrentSince Feb 21, 2024 Accepting new patients
Athol Memorial Hospital Incorporated CurrentSince Feb 21, 2024 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Mass General Brigham Medical Group Suburban Massachusetts Inc CurrentSince May 7, 2024 Accepting new patients
Cumberland River Hospital Inc Past Accepting new patients
Newton-Wellesley Hospital Past Accepting new patients
Umass Memorial Health-Harrington Hospital Inc Past Accepting new patients
Medical Care of Boston Management Corporation Internal Medicine Past Accepting new patients
Sterling Emergency Services of the Midwest, Inc Past Accepting new patients

Locations

2033 Main St
Athol, MA 01331
Phone (978) 249-1295

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

242 Green St
Gardner, MA 01440
Phone (978) 258-4734

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

100 South St
Southbridge, MA 01550
Phone (508) 764-8012

100 South St
Ste 102
Southbridge, MA 01550
Phone (508) 765-7860

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

243 Elm St
Claremont, NH 03743
Phone (603) 542-7771

Interoperability endpoints

  • Direct secure messaging: vrhttempl@yourcarecommunity.org
  • Direct secure messaging: temple.tailee.nwh@direct.partners.masshiway.net

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 5

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1114971694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415348",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415348",
            "telephone_number": "800-225-8885",
            "fax_number": "508-334-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SOUTH ST",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015504051",
            "telephone_number": "508-765-9771",
            "fax_number": "508-909-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMPLE",
        "first_name": "TAI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "238229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4097265",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00211999",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbridge, MA

Sources for this page

Verify at the official NPI Registry.