Individual provider Active NPI

Tamara Elizabeth Baer, M.D.

  • Pediatric Adolescent Medicine Physician
  • Boston, MA
National Provider Identifier
1386892438
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
250618 Issued in MA
Practice address
333 Longwood Ave
Boston Children's Hospital, Adolescent Medicine
Boston, MA 02115-5711
Phone
(617) 355-7181
Fax
(617) 730-0184
NPI assigned
Sep 3, 2008
Last updated
Mar 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 241385 MA
Pediatric Adolescent Medicine Physician 2080A0000X 250618 MA Primary

Addresses

Primary practice location

333 Longwood Ave
Boston Children's Hospital, Adolescent Medicine
Boston, MA 02115-5711

Mailing address

333 Longwood Ave
Boston Children's Hospital, Adolescent Medicine
Boston, MA 02115-5711
Phone (617) 355-7181

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
I20150603001205 MA Practitioner - Pediatric Medicine 8921329970 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
241385MAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital Pediatric Associates, Inc Pediatrics CurrentSince Jul 1, 2015 Accepting new patients
President & Fellows of Harvard College CurrentSince May 1, 2015 Accepting new patients
President and Fellows of Harvard College CurrentSince May 1, 2015 Accepting new patients

Locations

300 Longwood Ave
Ofc
Boston, MA 02115
Phone (617) 355-8083

188 Longwood Ave
Boston, MA 02115
Phone (617) 432-1434

333 Longwood Ave
Boston, MA 02115
Phone (617) 355-4677

300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956

75 Mount Auburn St
#H
Cambridge, MA 02138
Phone (617) 495-4414

75 Mount Auburn St
Cambridge, MA 02138
Phone (617) 495-2042

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427155200000",
    "number": "1386892438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 LONGWOOD AVE",
            "address_2": "BOSTON CHILDREN'S HOSPITAL, ADOLESCENT MEDICINE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155711",
            "telephone_number": "617-355-7181",
            "fax_number": "617-730-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 LONGWOOD AVE",
            "address_2": "BOSTON CHILDREN'S HOSPITAL, ADOLESCENT MEDICINE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155711",
            "telephone_number": "617-355-7181",
            "fax_number": "617-730-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAER",
        "first_name": "TAMARA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2015-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "241385",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MA",
            "license": "250618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.