Individual provider Active NPI

Thomas P Pappavaselio, M.D.

  • Ophthalmology Physician
  • Lawrence, MA
National Provider Identifier
1437133386
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
50238 Issued in MA
Practice address
360 Merrimack St
BLDG 9, Entrance I
Lawrence, MA 01843-1740
Phone
(978) 688-6185
Fax
(978) 689-0731
NPI assigned
Dec 5, 2005
Last updated
Aug 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 50238 MA Primary
Ophthalmology Physician 207W00000X 9113 NH

Addresses

Primary practice location

360 Merrimack St
BLDG 9, Entrance I
Lawrence, MA 01843-1740

Mailing address

360 Merrimack St
BLDG 9, Entrance I
Lawrence, MA 01843-1740
Phone (978) 688-6182

Other identifiers 2

IdentifierTypeStateIssuer
3091267MedicaidNH
110056804AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 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
I20050330000148 MA Practitioner - Ophthalmology 9638125909 Reassigns benefits to 3 organizations
I20060126000734 NH Practitioner - Ophthalmology 9638125909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Saint Louis University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tallman Eye Associates PCGroup PAC ID 3577501063, 15 clinicians
Tallman Eye BidcoGroup PAC ID 7315236866, 7 clinicians
Tallman Eye WhittierGroup PAC ID 3678982352, 7 clinicians

Practice addresses (Care Compare)

29 Stiles Rd
Suite 101
Salem, NH 03079-5802
Phone (603) 893-7400

360 Merrimack St
Suite 9
Lawrence, MA 01843-1764
Phone (978) 688-6182

360 Merrimack Street BLDG 9 Entrance
Lawrence, MA 01843-1764
Phone (978) 688-6182

451 Andover St
North Andover, MA 01845-5044
Phone (978) 688-6182

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery138

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50238MAMDOphthalmology Physician
9113NHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tallman Eye Bidco Ophthalmology CurrentSince Feb 20, 2016 Accepting new patients
Tallman Eye Associates, PC Ophthalmology CurrentSince Jun 6, 2005 Accepting new patients
Tallman Eye Whittier Ophthalmology CurrentSince Jan 12, 2021 Accepting new patients
Tallman Eye Associates, PC Ophthalmology Past Accepting new patients

Locations

349 N Main St
Andover, MA 01810
Phone (978) 475-0959

360 Merrimack St
Lawrence, MA 01843
Phone (978) 557-8800

360 Merrimack St
Ste 1
Lawrence, MA 01843
Phone (978) 557-8800

360 Merrimack St
Ste 9
Lawrence, MA 01843
Phone (978) 552-4000

850 Chelmsford St
Lowell, MA 01851
Phone (978) 452-0127

451 Andover St
North Andover, MA 01845
Phone (978) 687-1313

451 Andover St
Ste 110
North Andover, MA 01845
Phone (978) 794-2000

451 Andover St
Ste G7
North Andover, MA 01845

29 Stiles Rd
Ste 101
Salem, NH 03079
Phone (603) 893-7400

32 Stiles Rd
Salem, NH 03079
Phone (603) 386-0100

Interoperability endpoints

  • Direct secure messaging: tpp@tea.ecldirect.net

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, 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": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470960000000",
    "number": "1437133386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 MERRIMACK ST",
            "address_2": "BLDG 9, ENTRANCE I",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431740",
            "telephone_number": "978-688-6182",
            "fax_number": "978-689-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 MERRIMACK ST",
            "address_2": "BLDG 9, ENTRANCE I",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431740",
            "telephone_number": "978-688-6185",
            "fax_number": "978-689-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPPAVASELIO",
        "first_name": "THOMAS",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2016-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "50238",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NH",
            "license": "9113",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3091267",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110056804A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

Verify at the official NPI Registry.