NPIMap

Individual provider Active NPI

Anthony C. Tam, M.D.

  • Family Medicine Physician
  • Chelsea, MI
National Provider Identifier
1326490046
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4351038294 Issued in MI
Practice address
14700 E Old US Highway 12
Chelsea, MI 48118-1185
Phone
(734) 475-1321
Fax
(734) 433-3151
NPI assigned
Jul 6, 2016
Last updated
May 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 4301110536 MI
Family Medicine Physician 207Q00000X 4351038294 MI Primary

Addresses

Primary practice location

14700 E Old US Highway 12
Chelsea, MI 48118-1185

Mailing address

14700 E Old US Highway 12
Chelsea, MI 48118-1185
Phone (734) 475-1321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20200511002340 MI Practitioner - Family Practice 9739472507 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Saint Louis University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center for Family HealthGroup PAC ID 4587574421, 39 clinicians

Practice addresses (Care Compare)

27931 C Dr N
Henry Ford Allegiance Family Medicine Alb
Albion, MI 49224-8402
Phone (517) 205-2579

505 N Jackson St
Jackson, MI 49201-1266
Phone (517) 748-5500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
W.a. Foote Memorial Hospital CurrentSince Sep 9, 2020 Accepting new patients
Center for Family Health Family Medicine CurrentSince Feb 8, 2021 Accepting new patients
W. a. Foote Memorial Hospital Current Accepting new patients
Center for Family Health Family Medicine CurrentSince Feb 8, 2021 Accepting new patients
Henry Ford Pathology Current Accepting new patients
W.a. Foote Memorial Hospital Family Medicine CurrentSince Sep 9, 2020 Accepting new patients
Wa Foote Memorial Hospital, Inc Past Accepting new patients

Locations

27931 C Dr N
Albion, MI 49224
Phone (517) 629-8311

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

500 N Jackson St
Jackson, MI 49201
Phone (517) 748-5444

505 N Jackson St
Jackson, MI 49201
Phone (517) 748-5500

544 Wildwood Ave
Jackson, MI 49201
Phone (517) 780-0838

130 N Sherman St
Leslie, MI 49251
Phone (517) 205-2500

Interoperability endpoints

  • Direct secure messaging: atam564967@direct.hfhs.org

Organizations & group practices 7

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 4

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": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1326490046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14700 E OLD US HIGHWAY 12",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181185",
            "telephone_number": "734-475-1321",
            "fax_number": "734-433-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14700 E OLD US HIGHWAY 12",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181185",
            "telephone_number": "734-475-1321",
            "fax_number": "734-433-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAM",
        "first_name": "ANTHONY",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-06",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301110536",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4351038294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, MI

Sources for this page

Verify at the official NPI Registry.