Individual provider Active NPI

Arno William Tilles, MD

  • Internal Medicine Physician
  • Cambridge, MA
National Provider Identifier
1528136827
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
208961 Issued in MA
Practice address
10 Rogers St
#1201
Cambridge, MA 02142-1246
Phone
(305) 215-2888
NPI assigned
Dec 4, 2006
Last updated
Sep 15, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 208961 MA Primary
Internal Medicine Physician 207R00000X ME67418 FL

Addresses

Primary practice location

10 Rogers St
#1201
Cambridge, MA 02142-1246

Mailing address

10 Rogers St
#1201
Cambridge, MA 02142-1246
Phone (305) 215-2888

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
I20080328000053 MA Practitioner - Internal Medicine 6204912488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Miami, LM Miller School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

115 Mill St
Belmont, MA 02478-1064
Phone (617) 643-0003

55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME67418FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The McLean Hospital Corporation Current Accepting new patients
Massachusetts General Physicians Organization Inc Internal Medicine CurrentSince Mar 20, 2008 Accepting new patients

Locations

115 Mill St
Stop 113
Belmont, MA 02478
Phone (617) 855-3256

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

Interoperability endpoints

  • Direct secure messaging: tilles.arno.mcl@direct.partners.masshiway.net

Organizations & group practices 2

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410739200000",
    "number": "1528136827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ROGERS ST",
            "address_2": "#1201",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021421246",
            "telephone_number": "305-215-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ROGERS ST",
            "address_2": "#1201",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021421246",
            "telephone_number": "305-215-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLES",
        "first_name": "ARNO",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2014-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "208961",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME67418",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.