NPIMap

Individual provider Active NPI

Kamran Tareen, M.D.

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1245240985
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD050304L Issued in PA
Practice address
2821 Island Ave
Suite 264
Philadelphia, PA 19153-2300
Phone
(215) 863-6140
Fax
(215) 492-0458
NPI assigned
Aug 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MD050304L PA Primary

Addresses

Primary practice location

2821 Island Ave
Suite 264
Philadelphia, PA 19153-2300

Mailing address

623 Foxfields Rd
Bryn Mawr, PA 19010-2056
Phone (215) 863-6140

Other identifiers 1

IdentifierTypeStateIssuer
0015471250008MedicaidPA

Other names 1

  • Kam Tareen Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051216000191 PA Practitioner - Internal Medicine 9032130109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2821 Island Ave
Suite 264
Philadelphia, PA 19153-2300
Phone (215) 863-6146

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kam Tareen MD PC Internal Medicine CurrentSince Nov 1, 2005 Accepting new patients
Eastwick Primary Care Past Accepting new patients
Eastwick Pharmacy Care Internal Medicine Past Accepting new patients

Locations

2821 Island Ave
Ste 264
Philadelphia, PA 19153
Phone (215) 863-6140

Organizations & group practices 3

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.

Hospital & facility affiliations 8

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245240985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 FOXFIELDS RD",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102056",
            "telephone_number": "215-863-6140",
            "fax_number": "215-492-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 ISLAND AVE",
            "address_2": "SUITE 264",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191532300",
            "telephone_number": "215-863-6140",
            "fax_number": "215-492-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAREEN",
        "first_name": "KAMRAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD050304L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015471250008",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAM",
            "last_name": "TAREEN",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.