Individual provider Active NPI

Thomas Michael Tambouratzis, MD

  • Internal Medicine Physician
  • Washington, PA
National Provider Identifier
1386604874
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD460161 Issued in PA
Practice address
1000 Park Place Dr Ste 209
Washington, PA 15301-2064
Phone
(724) 229-7570
NPI assigned
Mar 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD460161 PA Primary

Addresses

Primary practice location

1000 Park Place Dr Ste 209
Washington, PA 15301-2064

Mailing address

1000 Park Place Dr Ste 209
Washington, PA 15301-2064
Phone (724) 229-7570

Other identifiers 1

IdentifierTypeStateIssuer
01633639OtherILBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20170405002136 PA Practitioner - Internal Medicine 5395727663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Physician ServicesGroup PAC ID 6103719562, 106 clinicians

Practice addresses (Care Compare)

1000 Park Place Dr
Suite 209
Washington, PA 15301-2064
Phone (724) 579-1075

190 N Main St
Suite 204
Washington, PA 15301-4395
Phone (724) 225-9970

Hospital & facility affiliations

  • Concordia Visiting Nurses Home health agency, Cabot, PA, CCN 397717
  • Washington Hospital, the Hospital, Washington, PA, CCN 390042
  • Canonsburg General Hospital Hospital, Canonsburg, PA, CCN 390160
  • Magee Womens Hospital of Upmc Health System Hospital, Pittsburgh, PA, CCN 390114
  • St Clair Hospital Hospital, Pittsburgh, PA, CCN 390228

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD460161PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Physician Services Internal Medicine CurrentSince Feb 27, 2017 Accepting new patients
Department of Veteran'S Affairs Past Accepting new patients

Locations

190 N Main St
Ste 204
Washington, PA 15301
Phone (724) 223-9335

155 Wilson Ave
Washington, PA 15301
Phone (724) 223-3342

1000 Park Place Dr
Ste 209
Washington, PA 15301
Phone (724) 229-7570

Interoperability endpoints

  • Direct secure messaging: thomas.tambouratzis@whc.eclinicaldirectplus.com

Organizations & group practices 2

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 7

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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1386604874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 PARK PLACE DR STE 209",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153012064",
            "telephone_number": "724-229-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PARK PLACE DR STE 209",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153012064",
            "telephone_number": "724-229-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMBOURATZIS",
        "first_name": "THOMAS",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD460161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "01633639",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

Verify at the official NPI Registry.