Tara Beth Anderson, PA
Individual provider Active NPI Physician Assistant · New Haven, CT
NPI 1295814119 · NPPES record last updated Nov 25, 2015
Key facts
- NPI
- 1295814119
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 003174 (CT)
- Practice address
- 20 York St
New Haven, CT 06510-3220 - Phone
- (203) 200-4737
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Yale University
Practice addresses (Care Compare)
20 York St
New Haven, CT 06510-3220
Phone (203) 688-4242
6 Devine St
North Haven, CT 06473-2195
Phone (203) 287-6100
800 Howard Ave
New Haven, CT 06519-1369
Phone (203) 785-2140
Hospital & facility affiliations
- Yale-New Haven Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.36 of 100
- Quality
- 77.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.27
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160115000540 | CT | Practitioner - Physician Assistant | 8123041951 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 00782 | RI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Current |
Accepting new patients | |
| Yale University | Current |
Accepting new patients |
Locations
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
20 York St
North Haven, CT 06510
Phone (203) 688-2433
Interoperability endpoints
- tanderson324563@direct.ynhh.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601003748 | MI | |
| Physician Assistant | 363A00000X | PA 00782 | RI | |
| Physician Assistant | 363A00000X | 003174 | CT | Yes |
Addresses
Primary practice location
20 York St
New Haven, CT 06510-3220
Mailing address
30 Sandlewood Dr
Madison, CT 06443
Phone (734) 417-0884
Other names
- Tara Kendall
Other providers in New Haven, CT
- Nancy Anderson
- Nicolette Anderson
- Nientara Anderson
- Nycaine Anderson
- Sharon J Anderson
- Terance A Anderson
- Warren A Andiman
- Emilio Gerardo Andrade
- Mihai Ovidiu Florin Andreca
- Liva Andrejeva-Wright
All providers in New Haven, CT · Physician Assistant in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.