Tamara Handerson, MD

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

License

216104 Issued in MA

Practice address

5 Perryridge Rd
Department of Pathology
Greenwich, CT 06830-4697

Phone

(203) 863-3927

NPI assigned

Oct 27, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Pathology

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adult and Pediatric Dermatology Specialists, P.C.Group PAC ID 5395806095, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

65.6 of 100Reported as group

Quality

31.19

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: thanderson@directaddress.net

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.

• Adult & Pediatric Dermatology Specialists, P.C.

  • Dermatology Physician
  • Trumbull, CT
  • NPI 1013035138

  CT

  Medicare reassignment Care Compare group NPD
• Adult & Pediatric Dermatology Specialists, P.C.

  • Dermatology Physician
  • Westport, CT
  • NPI 1528275773
  Care Compare group NPD
• Greenwich Pathology Associates, LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Greenwich, CT
  • NPI 1699968974
  NPD (past)
• Alliance Dermatology & Mohs Center, PC

  • Dermatology Physician
  • Phoenix, AZ
  • NPI 1891702957
  NPD (past)

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331078400000",
    "number": "1184614331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 RIVERBEND RD",
            "city": "OLD LYME",
            "state": "CT",
            "postal_code": "06371",
            "telephone_number": "860-434-6698",
            "fax_number": "860-434-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PERRYRIDGE RD",
            "address_2": "DEPARTMENT OF PATHOLOGY",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068304697",
            "telephone_number": "203-863-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDERSON",
        "first_name": "TAMARA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2012-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "MA",
            "license": "216104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2006600",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David K. Hahn, MD
• Jennifer Kissane Hake, DC
• Cynthia Hall
• Alexander Hallac, MD
• Halsamd
• Moghees Hanif, MBBS
• Reis Hansen
• Ervin Eugene Hanson, M.D.
• Harandi Health & Longevity LLC
• Harbor Bridge Emotional Health, LLC

• All providers in Greenwich, CT
• Anatomic Pathology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.