Individual provider Active NPI

Toryalai Amiri, M.D.

  • Internal Medicine Physician
  • Lynn, MA
National Provider Identifier
1255388047
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
59446 Issued in MA
Practice address
225 Boston St
Suite 306
Lynn, MA 01904-3137
Phone
(781) 592-3183
Fax
(781) 592-3356
NPI assigned
May 27, 2006
Last updated
Jul 15, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

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 59446 MA Primary

Addresses

Primary practice location

225 Boston St
Suite 306
Lynn, MA 01904-3137

Mailing address

37 Pine Plain Rd
Boxford, MA 01921-1243
Phone (781) 592-3183

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
I20060309000466 MA Practitioner - Internal Medicine 4880601293 Reassigns benefits to 1 organization
Practice locations: Lynn, MA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lynn Community Health, Inc.Group PAC ID 0042217507, 95 clinicians

Practice addresses (Care Compare)

269 Union St
Lynn, MA 01901-1314
Phone (959) 216-7305

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lynn Community Health, Inc. CurrentSince Sep 25, 2015 Accepting new patients

Locations

269 Union St
Lynn, MA 01901
Phone (781) 581-9832

280 Union St
Ste 202
Lynn, MA 01901
Phone (781) 780-4555

Interoperability endpoints

  • Direct secure messaging: tamiri150300@direct.ochin.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1255388047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 PINE PLAIN RD",
            "city": "BOXFORD",
            "state": "MA",
            "postal_code": "019211243",
            "telephone_number": "781-592-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BOSTON ST",
            "address_2": "SUITE 306",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019043137",
            "telephone_number": "781-592-3183",
            "fax_number": "781-592-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIRI",
        "first_name": "TORYALAI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "59446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

Verify at the official NPI Registry.