Individual provider Active NPI

Parra Tomkins, MD

  • Family Medicine Physician
  • Somerville, MA
National Provider Identifier
1366433666
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
160674 Issued in MA
Practice address
645 Broadway
Ball Square
Somerville, MA 02145-2528
Phone
(617) 625-0006
Fax
(617) 625-6644
NPI assigned
Nov 4, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 160674 MA Primary

Addresses

Primary practice location

645 Broadway
Ball Square
Somerville, MA 02145-2528

Mailing address

645 Broadway
Ball Square
Somerville, MA 02145-2528
Phone (617) 625-0006

Other identifiers 1

IdentifierTypeStateIssuer
3198481MedicaidMA

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
I20050531000037 MA Practitioner - Family Practice 9931141090 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Geffen School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Practice Group PCGroup PAC ID 5395717920, 16 clinicians

Practice addresses (Care Compare)

11 Water St
Suite 1a
Arlington, MA 02476-4814
Phone (781) 648-9700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
160674MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Group PC Family Medicine CurrentSince Apr 1, 2021 Accepting new patients
Hallmark Health Medical Associates Inc Family Medicine CurrentSince Aug 3, 1999 Accepting new patients
Hallmark Health System Inc Past Accepting new patients
Family Practice Group, P.C. Past Accepting new patients

Locations

11 Water St
Arlington, MA 02476

11 Water St
Ste 1A
Arlington, MA 02476
Phone (781) 648-9700

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

425 Revere St
Revere, MA 02151
Phone (781) 286-1313

1715 Broadway
Saugus, MA 01906
Phone (781) 233-2931

645 Broadway
Somerville, MA 02145
Phone (617) 625-0006

Interoperability endpoints

  • Direct secure messaging: ptomkins252831@direct.bilh.masshiway.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1366433666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 BROADWAY",
            "address_2": "BALL SQUARE",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021452528",
            "telephone_number": "617-625-0006",
            "fax_number": "617-625-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 BROADWAY",
            "address_2": "BALL SQUARE",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021452528",
            "telephone_number": "617-625-0006",
            "fax_number": "617-625-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMKINS",
        "first_name": "PARRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-04",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "160674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3198481",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

Verify at the official NPI Registry.