Individual provider Active NPI

Tanya Arvind Rege, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Needham, MA
National Provider Identifier
1396945838
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
242614 Issued in MA
Practice address
15 Crawford St Ste 100
Needham, MA 02494-2618
Phone
(617) 969-4100
Fax
(617) 969-3393
NPI assigned
Jul 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X 232371 MA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 242614 MA Primary

Addresses

Primary practice location

15 Crawford St Ste 100
Needham, MA 02494-2618

Mailing address

PO Box 840294
Dallas, TX 75284-0294
Phone (888) 344-1160

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
I20101207000580 MA Practitioner - Pathology 6709073471 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
232371MAMDAnatomic Pathology Physician
242614MAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cohen Dermatopathology, P.C. Current Accepting new patients
Cohen Dermatopathology, P.C. Anatomic Pathology Current Accepting new patients
Metroplex Pathology Associates Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2011 Accepting new patients

Locations

15 Crawford St
Ste 100
Needham Heights, MA 02494
Phone (617) 969-4100

1111 S Freeport Pkwy
Coppell, TX 75019
Phone (214) 277-8700

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1396945838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840294",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840294",
            "telephone_number": "888-344-1160",
            "fax_number": "972-331-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CRAWFORD ST STE 100",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024942618",
            "telephone_number": "617-969-4100",
            "fax_number": "617-969-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGE",
        "first_name": "TANYA",
        "middle_name": "ARVIND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "MA",
            "license": "232371",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MA",
            "license": "242614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

Verify at the official NPI Registry.