Individual provider Active NPI

Tzvetan Tzvetanov, M.D.

  • Internal Medicine Physician
  • North Andover, MA
National Provider Identifier
1417938069
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
204641 Issued in MA
Practice address
790 Turnpike St Ste 300
North Andover, MA 01845-6129
Phone
(978) 687-2273
NPI assigned
Nov 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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 204641 MA Primary

Addresses

Primary practice location

790 Turnpike St Ste 300
North Andover, MA 01845-6129

Mailing address

790 Turnpike St Ste 300
North Andover, MA 01845-6129
Phone (978) 687-2273

Other identifiers 2

IdentifierTypeStateIssuer
M21510OtherMAMEDICARE
110002818AMedicaidMA

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
I20040216000238 MA Practitioner - Internal Medicine 4183519697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Todays Wellness PLLCGroup PAC ID 4082917067, 2 clinicians

Practice addresses (Care Compare)

790 Turnpike St
Suite 300
North Andover, MA 01845-6129
Phone (978) 687-2273

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Caritas Medical Group, Inc. Past Accepting new patients
Essex Inpatient Physicians, PC PastSince Apr 13, 2013 Accepting new patients
River Valley Infectious Disease Specialists Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tzvetanov.tzvetan.1@3764.direct.athenahealth.com

Organizations & group practices 4

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 4

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1417938069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 TURNPIKE ST STE 300",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018456129",
            "telephone_number": "978-687-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 TURNPIKE ST STE 300",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018456129",
            "telephone_number": "978-687-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TZVETANOV",
        "first_name": "TZVETAN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "204641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "M21510",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110002818A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

Verify at the official NPI Registry.