NPIMap

Individual provider Active NPI

Mark P Tallman, MD

  • Advanced Heart Failure and Transplant Cardiology Physician
  • Brighton, MA
National Provider Identifier
1174518989
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Heart Failure and Transplant Cardiology PhysicianTaxonomy code 207RA0001X
License
230092 Issued in MA
Practice address
736 Cambridge St FL 2
Brighton, MA 02135-2907
Phone
(617) 789-2344
NPI assigned
Sep 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X 230092 MA Primary
Cardiovascular Disease Physician 207RC0000X 191442 NY
Cardiovascular Disease Physician 207RC0000X 230092 MA
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X 191442 NY

Addresses

Primary practice location

736 Cambridge St FL 2
Brighton, MA 02135-2907

Mailing address

601 Elmwood Ave Box 679
Rochester, NY 14642-0001
Phone (585) 273-3760

Other practice location 1

Hsc T16 080
Stony Brook, NY 11794-8167
Phone (631) 444-1060

Other practice location 2

732 Harrison Avenue, FL 3
Preston Bldg
Boston, MA 02118-2309
Phone (617) 638-7490

Other practice location 3

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 273-3760

Other practice location 4

830 Oak St Ste 205W
Brockton, MA 02301-1191
Phone (508) 583-4440

Other identifiers 3

IdentifierTypeStateIssuer
01573317MedicaidNY
2017300MedicaidMA
1007068MedicaidVT

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mtallman181217@direct.urmc.rochester.edu Direct
Direct Messaging Address mtallman181217@direct.urmc.rochester.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, 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
I20051220000448 NY Practitioner - Advanced Heart Failure and Transplant CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6406878305 Reassigns benefits to 3 organizations
I20231117003002 MA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6406878305 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Albany Medical College of Union University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BMC Affiliated Physicians, Inc.Group PAC ID 9830133123, 543 clinicians
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

Practice addresses (Care Compare)

11 Nevins St
Brighton, MA 02135-3514
Phone (617) 779-6700

235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-3000

43 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-3277

47 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-5633

736 Cambridge St
Brighton, MA 02135-2907
Phone (617) 789-3000

Hospital & facility affiliations

  • Boston Medical Center-Brighton Hospital, Brighton, MA, CCN 220036
  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013
  • Merrimack Health Lawrence Hospital Hospital, Lawrence, MA, CCN 220010
  • Good Samaritan Medical Center Hospital, Brockton, MA, CCN 220111
  • Holy Family Hospital Hospital, Methuen, MA, CCN 220080

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
230092MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Medical PC CurrentSince Mar 1, 2021 Accepting new patients
Cardiovascular Center at Tufts Medical Center, Inc. Cardiovascular Disease CurrentSince Dec 1, 2024 Accepting new patients
North Medical PC Current Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 30, 2023 Accepting new patients
BMC Affiliated Physicians, Inc. Cardiovascular Disease CurrentSince Apr 1, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 30, 2023 Accepting new patients
Revere Medical of Massachusetts, PC CurrentSince Oct 30, 2024 Accepting new patients
Cardiology Clinical Group Advanced Heart Failure and Transplant Cardiology CurrentSince May 1, 2019 Accepting new patients
Community Care Physicians, PLLC Past Accepting new patients
Boston Medical Center - Brighton Corporation Past Accepting new patients
Albany Medical College Past Accepting new patients

Locations

88 Newton St
Boston, MA 02118
Phone (617) 638-7350

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

930 Commonwealth Ave
Boston, MA 02215
Phone (617) 262-2020

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

736 Cambridge St
Fl 2
Brighton, MA 02135
Phone (617) 562-2445

830 Oak St
Ste 205W
Brockton, MA 02301
Phone (508) 427-2602

1 Pearl St
Ste 1000
Brockton, MA 02301
Phone (508) 897-6050

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

822 Boylston St
Ste 102
Chestnut Hill, MA 02467
Phone (617) 396-8866

15 Payson Rd
Ste 3
Foxboro, MA 02035
Phone (508) 772-1438

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

1 Boston Medical Ctr Pl
Roxbury, MA 02118
Phone (617) 414-5245

9 Galen St
Ste 155
Watertown, MA 02472
Phone (857) 304-2444

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

601 Elmwood Ave
#679B
Rochester, NY 14642
Phone (585) 273-3760

601 Elmwood Ave
#679
Rochester, NY 14642
Phone (585) 275-2475

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

Interoperability endpoints

  • Direct secure messaging: mtallman129877@tuftsmedicine.direct-ci.com
  • Direct secure messaging: mark.tallman.1@2017.direct.athenahealth.com
  • Direct secure messaging: mtallman252340@direct.bmc.masshiway.net

Organizations & group practices 12

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.

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": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1174518989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE BOX 679",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-273-3760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 CAMBRIDGE ST FL 2",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021352907",
            "telephone_number": "617-789-2344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Hsc T16 080",
            "address_purpose": "LOCATION",
            "city": "Stony Brook",
            "state": "NY",
            "postal_code": "117948167",
            "country_code": "US",
            "telephone_number": "631-444-1060",
            "fax_number": "631-444-1054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "732 Harrison Avenue, FL 3",
            "address_2": "Preston Bldg",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021182309",
            "country_code": "US",
            "telephone_number": "617-638-7490",
            "fax_number": "617-414-8742",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Elmwood Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "14642",
            "country_code": "US",
            "telephone_number": "585-273-3760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "830 Oak St Ste 205W",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023011191",
            "country_code": "US",
            "telephone_number": "508-583-4440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALLMAN",
        "first_name": "MARK",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "MA",
            "license": "230092",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "191442",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "230092",
            "primary": false
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "NY",
            "license": "191442",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01573317",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2017300",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007068",
            "state": "VT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mtallman181217@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mtallman181217@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

Verify at the official NPI Registry.