Active NPI
Alanna Tisdale, M.D., M.P.H.
- Ophthalmology Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 289633
- Practice address
- 85 E Concord St FL 8
Boston, MA 02118-2335 - Phone
- (617) 638-4552
- NPI assigned
- Jun 21, 2016
- Last updated
- Sep 28, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 289633 | MA | Primary |
| Neuro-ophthalmology Physician | 207WX0109X | 289633 | MA |
Addresses
Primary practice location
85 E Concord St FL 8
Boston, MA 02118-2335
Mailing address
85 E Concord St FL 8
Boston, MA 02118-2335
Phone (617) 638-4552
Other practice location 1
41 Mall Rd
Burlington, MA 01805-2335
Phone (781) 744-8000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Lahey Clinic Inc
Practice addresses (Care Compare)
1 Essex Ctr Dr
Peabody, MA 01960-2901
Phone (978) 538-4000
29 Mall Rd
Burlington, MA 01805-0001
41 Mall Rd
Burlington, MA 01805-0001
Hospital & facility affiliations
- Lahey Hospital & Medical Center, Burlington
- Northeast Hospital Corporation
- Winchester Hospital
- Melrosewakefield Healthcare
- Massachusetts General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.98 of 100
- Quality
- 76.59
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 93 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 289633 | MA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lahey Clinic, Inc | Internal Medicine | Current | Accepting new patients |
| Lahey Clinic, Inc. | Internal Medicine | Current | Accepting new patients |
Locations
31 Mall Rd
Burlington, MA 01803
Phone (207) 317-1886
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
330 Mount Auburn St
Cambridge, MA 02138
Phone (617) 499-5054
Interoperability endpoints
- atisdale232946@direct.bilh.masshiway.net
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Peabody, MA
- NPI 1063447316
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Burlington, MA
- NPI 1558392563
-
- General Acute Care Hospital
- Medford, MA
- NPI 1841290467
-
- General Acute Care Hospital
- Beverly, MA
- NPI 1316917941
-
- Psychiatric Hospital Unit
- Beverly, MA
- NPI 1407827710
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- General Acute Care Hospital
- Winchester, MA
- NPI 1790740777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695859200000",
"number": "1235589144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 E CONCORD ST FL 8",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182335",
"telephone_number": "617-638-4552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 E CONCORD ST FL 8",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182335",
"telephone_number": "617-638-4552"
}
],
"practiceLocations": [
{
"address_1": "41 Mall Rd",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "MA",
"postal_code": "018052335",
"country_code": "US",
"telephone_number": "781-744-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TISDALE",
"first_name": "ALANNA",
"name_prefix": "Dr.",
"credential": "M.D., M.P.H.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-21",
"last_updated": "2023-09-28",
"certification_date": "2023-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MA",
"license": "289633",
"primary": true
},
{
"code": "207WX0109X",
"taxonomy_group": "",
"desc": "Ophthalmology, Neuro-ophthalmology",
"state": "MA",
"license": "289633",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.