Cyrus Pesi Tamboli, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

E-7315 Issued in AR

Practice address

1609 W 40TH Ave Ste 403
Pine Bluff, AR 71603-6365

Phone

(870) 541-7201

Fax

(870) 541-7202

NPI assigned

Oct 7, 2005

Last updated

Feb 1, 2022By the provider in NPPES

Sex

Male

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AR, OR2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ctamboli@yourcarecommunity.org
• Direct secure messaging: cyrus.tamboli@hca6.eclinicaldirectplus.com

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.

• Digestive Care P a

  • Gastroenterology Physician
  • Pine Bluff, AR
  • NPI 1629030358
  Medicare reassignment NPD
• McKenzie Physician Services LLC

  • General Practice Physician
  • Brentwood, TN
  • NPI 1316909054

  OR

  Medicare reassignment NPD
• Digestive Care PA

  • Gastroenterology Physician
  • Little Rock, AR
  • NPI 1124299599
  NPD
• Wabash Valley Urological Assoc Inc

  • Specialist
  • Terre Haute, IN
  • NPI 1316958549
  NPD (past)

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1265420830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 W 40TH AVE STE 403",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036365",
            "telephone_number": "870-541-7201",
            "fax_number": "870-541-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 W 40TH AVE STE 403",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036365",
            "telephone_number": "870-541-7201",
            "fax_number": "870-541-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMBOLI",
        "first_name": "CYRUS",
        "middle_name": "PESI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AR",
            "license": "E-7315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190178001",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CYRUS.TAMBOLI@hca6.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1609 W 40th Ave Ste 403",
            "city": "Pine Bluff",
            "state": "AR",
            "country_code": "US",
            "postal_code": "716036365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cortne Sykes
• Marie-Jeanne Tabi, MD
• Karla Taggart
• Taking Charge
• Amy R Talley, MSSLP.CCC
• Rusty Tasar
• Tarneisheia Monik Tate
• Mauro Jose Taveras Alcantara, M.D.
• Charles Garrett Taylor II, DDS
• Sonya Taylor

• Gastroenterology Physician in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Gastroenterology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.