NPIMap

Individual provider Active NPI

Tara J Hamilton, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Medford, MA
National Provider Identifier
1326181710
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
221829 Issued in MA
Practice address
170 Governors Ave
Diabetes Clinic-Lawrence Memorial Hospital
Medford, MA 02155-1643
Phone
(781) 306-6370
Fax
(781) 306-6375
NPI assigned
Feb 15, 2007
Last updated
Apr 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 221829 MA Primary

Addresses

Primary practice location

170 Governors Ave
Diabetes Clinic-Lawrence Memorial Hospital
Medford, MA 02155-1643

Mailing address

170 Governors Ave
Diabetes Clinic-Lawrence Memorial Hospital
Medford, MA 02155-1643
Phone (781) 306-6370

Other identifiers 2

IdentifierTypeStateIssuer
J41861OtherMABLUE CROSS
AA92172OtherMAHARVARD PILGRIM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20070809000123 MA Practitioner - EndocrinologyPractitioner - Internal Medicine 6507957230 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mass General Brigham Medical Group Suburban Massachusetts IncGroup PAC ID 0244133494, shared by 2 NPIs, 534 clinicians

Practice addresses (Care Compare)

101 Main St
Medford, MA 02155-4530
Phone (781) 874-0175

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mystic Cardiology Associates Inc Current Accepting new patients
Hallmark Health System Inc Endocrinology, Diabetes & Metabolism CurrentSince Aug 15, 2007 Accepting new patients
Mass General Brigham Community Physicians Inc CurrentSince Jun 29, 2019 Accepting new patients
Melrosewakefield Healthcare, Inc. Current Accepting new patients
Melrosewakefield Healthcare, Inc. CurrentSince Aug 15, 2007 Accepting new patients
Mass General Brigham Community Physicians Inc. Past Accepting new patients

Locations

101 Main St
Ste 107
Medford, MA 02155
Phone (781) 391-4004

170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000

Interoperability endpoints

  • Direct secure messaging: hamilton.tara.mcard@direct.partners.masshiway.net
  • Direct secure messaging: thamilton28677@tuftsmedicine.direct-ci.com

Organizations & group practices 6

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 5

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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364947200000",
    "number": "1326181710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 GOVERNORS AVE",
            "address_2": "DIABETES CLINIC-LAWRENCE MEMORIAL HOSPITAL",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021551643",
            "telephone_number": "781-306-6370",
            "fax_number": "781-306-6375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 GOVERNORS AVE",
            "address_2": "DIABETES CLINIC-LAWRENCE MEMORIAL HOSPITAL",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021551643",
            "telephone_number": "781-306-6370",
            "fax_number": "781-306-6375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "TARA",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2013-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MA",
            "license": "221829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "J41861",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA92172",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, MA

Sources for this page

Verify at the official NPI Registry.