Individual provider Active NPI

Alla Tibbetts, M.D., D.O.

  • Internal Medicine Physician
  • Burlington, MA
National Provider Identifier
1386807329
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
246273 Issued in MA
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

Updated by the provider on Dec 30, 2014

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 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, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110714000264 MA Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 8224206453 Reassigns benefits to 9 organizations
I20210112001004 FL Practitioner - Critical Care (Intensivists) 8224206453 Reassigns benefits to 1 organization

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 IncGroup PAC ID 2264336528, shared by 3 NPIs, 1,381 clinicians
Lowell General Inpatient Specialists PLLCGroup PAC ID 8729371380, 70 clinicians
Jason Grunes PLLCGroup PAC ID 8325332729, 4 clinicians

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 Hospital, Newburyport, MA, CCN 220029
  • Lowell General Hospital Hospital, Lowell, MA, CCN 220063
  • Winchester Hospital Hospital, Winchester, MA, CCN 220105
  • Beth Israel Deaconess Medical Center Hospital, Boston, MA, CCN 220086
  • Encompass Health Rehabilitation Hosp of New Englan Inpatient rehabilitation facility, Woburn, MA, CCN 223026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
237369MAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Nuview Telehealth, LLC Internal Medicine CurrentSince Jan 10, 2021 Accepting new patients
Anna Jaques Bidco Inpatient Specialists PLLC Internal Medicine CurrentSince Mar 1, 2019 Accepting new patients
Charter Health PC Internal Medicine CurrentSince Dec 1, 2018 Accepting new patients
Anna Jaques Inpatient Specialists PLLC Internal Medicine CurrentSince Oct 15, 2018 Accepting new patients
Winchester Lahey Inpatient Specialists PLLC Internal Medicine CurrentSince Sep 1, 2018 Accepting new patients
Lowell General Inpatient Specialists PLLC Internal Medicine CurrentSince May 10, 2016 Accepting new patients
Lahey Clinic, Inc Internal Medicine CurrentSince Feb 1, 2015 Accepting new patients
Incare LLC Internal Medicine CurrentSince Dec 28, 2020 Accepting new patients
Lahey Clinic, Inc. Internal Medicine CurrentSince Feb 1, 2015 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

  • Direct secure messaging: atibbetts46983@tuftsmedicine.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CFFBDD
  • Direct secure messaging: atibbetts26082@direct.bilh.masshiway.net
  • FHIR API: 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.

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": "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

Verify at the official NPI Registry.