Individual provider Active NPI

Patricia I Tai, MD

  • Pediatrics Physician
  • South Weymouth, MA
National Provider Identifier
1184615528
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
161158 Issued in MA
Practice address
549 Columbian St
Suite 100
South Weymouth, MA 02190-1138
Phone
(781) 337-5680
Fax
(781) 337-3275
NPI assigned
Nov 3, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 161158 MA Primary

Addresses

Primary practice location

549 Columbian St
Suite 100
South Weymouth, MA 02190-1138

Mailing address

549 Columbian St
Suite 100
South Weymouth, MA 02190-1138
Phone (781) 337-5680

Other identifiers 4

IdentifierTypeStateIssuer
408113OtherTUFTS
0160130MedicaidMA
204284OtherMAHPHC
TAJ24386OtherMABCBS

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
I20110930000051 MA Practitioner - Pediatric Medicine 9638341332 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
161158MAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare South PC Pediatrics CurrentSince Feb 10, 2022 Accepting new patients

Locations

56 New Driftway
Scituate, MA 02066
Phone (781) 544-3434

56 New Driftway
Ste 301
Scituate, MA 02066
Phone (781) 383-6261

97 Libbey Park
Ste 203
Weymouth, MA 02189
Phone (781) 337-5680

Interoperability endpoints

  • Direct secure messaging: patriciatai@hcs.allscriptsdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1184615528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 COLUMBIAN ST",
            "address_2": "SUITE 100",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021901138",
            "telephone_number": "781-337-5680",
            "fax_number": "781-337-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 COLUMBIAN ST",
            "address_2": "SUITE 100",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021901138",
            "telephone_number": "781-337-5680",
            "fax_number": "781-337-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAI",
        "first_name": "PATRICIA",
        "middle_name": "I",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-03",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "161158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "408113",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0160130",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "204284",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "TAJ24386",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Weymouth, MA

Sources for this page

Verify at the official NPI Registry.