Michelle S. Tam, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A62269 Issued in CA

Practice address

1870 Lundy Ave
San Jose, CA 95131-1826

Phone

(408) 573-9686

Fax

(408) 922-0872

NPI assigned

Jul 26, 2006

Last updated

Mar 3, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Sin-Man Tam Former name

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Internal Medicine

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North East Medical ServicesGroup PAC ID 4284520529, 143 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Cost

100

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mtam18447@northeastmedicalservicesnems.direct-ci.com

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.

• North East Medical Services

  dba North East Medical Services - Stockton

  • Federally Qualified Health Center (FQHC)
  • San Francisco, CA
  • NPI 1518911304
  Medicare reassignment Care Compare group NPD
• North East Medical Services

  • Federally Qualified Health Center (FQHC)
  • San Jose, CA
  • NPI 1093992844
  NPD
• North East Medical Services

  dba NEMS - Story Road Pharmacy

  • Community/Retail Pharmacy
  • San Jose, CA
  • NPI 1902616279
  NPD
• Alta Bates Summit Medical Center

  dba Merritt Peralta Insititute

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Oakland, CA
  • NPI 1043358542
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488499200000",
    "number": "1518981307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 LUNDY AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311826",
            "telephone_number": "408-573-9686",
            "fax_number": "408-922-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 LUNDY AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311826",
            "telephone_number": "408-573-9686",
            "fax_number": "408-922-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAM",
        "first_name": "MICHELLE",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2017-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A62269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8516931",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIN-MAN",
            "last_name": "TAM",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elaine Tam
• Erica Tam, DMD
• Helena Tam, M.A. CCC-SLP
• Matilda M Tam, PHARM.D.
• Mei En Tam
• Terrence Tam
• Victoria Yong Yin Tam
• Teresa Esther Tamashiro
• Veronica Tamayo-Sarver
• Bulmaro Tamayo, LCSW

• Internal Medicine Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.