Active NPI
Alla Tibbetts, M.D., D.O.
- Internal Medicine Physician
- Burlington, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 246273
- Practice address
- 41 Mall Rd
Burlington, MA 01805-0001 - Phone
- (781) 744-5238
- Fax
- (781) 744-2930
- NPI assigned
- Jul 9, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 237369 | MA | |
| Internal Medicine Physician | 207R00000X | 246273 | MA | Primary |
Addresses
Primary practice location
41 Mall Rd
Burlington, MA 01805-0001
Mailing address
41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-5238
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- University of New England, College of Osteo Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lahey Clinic Inc
Practice addresses (Care Compare)
1 Essex Ctr Dr
Peabody, MA 01960-2901
Phone (978) 538-4000
1 Hospital Dr
Lowell, MA 01852-1311
Phone (978) 458-1411
2 Rehab Way
Woburn, MA 01801-6003
Phone (774) 270-1618
Hospital & facility affiliations
- Anna Jaques Hospital
- Lowell General Hospital
- Winchester Hospital
- Beth Israel Deaconess Medical Center
- Encompass Health Rehabilitation Hosp of New Englan
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 237369 | MA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nuview Telehealth, LLC | Internal Medicine | Current | Accepting new patients |
| Anna Jaques Bidco Inpatient Specialists PLLC | Internal Medicine | Current | Accepting new patients |
| Charter Health PC | Internal Medicine | Current | Accepting new patients |
| Anna Jaques Inpatient Specialists PLLC | Internal Medicine | Current | Accepting new patients |
| Winchester Lahey Inpatient Specialists PLLC | Internal Medicine | Current | Accepting new patients |
| Lowell General Inpatient Specialists PLLC | Internal Medicine | Current | Accepting new patients |
| Lahey Clinic, Inc | Internal Medicine | Current | Accepting new patients |
| Incare LLC | Internal Medicine | Current | Accepting new patients |
| Lahey Clinic, Inc. | Internal Medicine | Current | Accepting new patients |
Locations
1825 NW Corporate Blvd
Ste 105
Boca Raton, FL 33431
Phone 5612993667205
6401 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 776-8500
1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309
85 Herrick St
Beverly, MA 01915
Phone (978) 816-3700
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
290 Littleton Rd
Unit 3
Chelmsford, MA 01824
Phone (978) 258-4734
298 Washington St
Gloucester, MA 01930
Phone (978) 283-4000
140 Lincoln Ave
Haverhill, MA 01830
Phone (978) 374-2000
295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344
1 Hospital Dr
Lowell, MA 01852
Phone (978) 687-0156
70 East St
Methuen, MA 01844
Phone (978) 682-1906
25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734
47 High St
Ste 101
North Andover, MA 01845
Phone (978) 258-4734
565 Turnpike St
Ste 85
North Andover, MA 01845
Phone (978) 519-4114
1 Essex Dr
Peabody, MA 01960
Phone (978) 538-4000
55 Highland Ave
Ste 304
Salem, MA 01970
Phone (978) 354-4611
81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009
35 United Dr
Ste 102
West Bridgewater, MA 02379
41 Highland Ave
Winchester, MA 01890
Phone (781) 756-2000
1 Harbison Way
Ste 222
Columbia, SC 29212
Interoperability endpoints
- atibbetts46983@tuftsmedicine.direct-ci.com
- https://fhir4.healow.com/fhir/r4/CFFBDD
- atibbetts26082@direct.bilh.masshiway.net
- https://api.platform.athenahealth.com/18780/brand/1/csg/1/fhir/r4
Organizations & group practices 12
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.
-
- Internal Medicine Physician
- Lowell, MA
- NPI 1649626391
-
- Internal Medicine Physician
- Woburn, MA
- NPI 1285083972
-
- Internal Medicine Physician
- Salem, MA
- NPI 1750824124
-
- Internal Medicine Physician
- North Andover, MA
- NPI 1639655467
-
- Internal Medicine Physician
- Peabody, MA
- NPI 1063447316
-
- Internal Medicine Physician
- Burlington, MA
- NPI 1538194980
-
- Internal Medicine Physician
- Winchester, MA
- NPI 1144770629
-
- Pulmonary Disease Physician
- North Andover, MA
- NPI 1730765496
-
- Internal Medicine Physician
- North Andover, MA
- NPI 1164305611
-
- Internal Medicine Physician
- Newburyport, MA
- NPI 1548709462
-
- Internal Medicine Physician
- Newburyport, MA
- NPI 1225573611
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newburyport, MA
- NPI 1992779482
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
-
- Rehabilitation Hospital
- Woburn, MA
- NPI 1215364682
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Lowell, MA
- NPI 1407804669
-
- General Acute Care Hospital
- Winchester, MA
- NPI 1790740777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419897600000",
"number": "1386807329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 MALL RD",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018050001",
"telephone_number": "781-744-5238",
"fax_number": "781-744-2930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 MALL RD",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018050001",
"telephone_number": "781-744-5238",
"fax_number": "781-744-2930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIBBETTS",
"first_name": "ALLA",
"credential": "M.D., D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-09",
"last_updated": "2014-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MA",
"license": "237369",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "246273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.