Active NPI
Tatiana N Scott, M.D.
- Internal Medicine Physician
- Andover, MA
National Provider Identifier
1609876747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 216435
- Practice address
- 323 Lowell St
Andover Medical Center & Expresscare
Andover, MA 01810-4501 - Phone
- (978) 783-5000
- Fax
- (978) 313-8184
- NPI assigned
- Jul 29, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 216435 | MA | Primary |
Addresses
Primary practice location
323 Lowell St
Andover Medical Center & Expresscare
Andover, MA 01810-4501
Mailing address
323 Lowell St
Andover Medical Center & Expresscare
Andover, MA 01810-4501
Phone (978) 783-5000
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2008777 | Medicaid | MA | |
| 7205446 | Other | MA | AETNA |
| 697817 | Other | MA | HARVARD PILGRIM HEALTH CARE |
| J26047 | Other | MA | BLUE CROSS & BLUE SHIELD |
| 000000026163 | Other | MA | BMC |
| 04-2945394 | Other | MA | CONSOLIDATED |
| 216435-7879 | Other | MA | CONNECTICARE |
| 9667788 | Other | MA | CIGNA |
| 04-2945394 | Other | MA | MULTIPLAN |
| 32635 | Other | MA | HNE |
| 04-2945394 | Other | MA | GREST-WEST |
| 2371688 02 | Other | MA | UNITED HEALTH CARE |
| 123187 | Other | MA | FALLON |
| 216435 | Other | MA | TUFTS |
Other names 1
- Dr. Tatiana N Saprykina
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221222000304 | MA | Order and Referring Only - Internal Medicine | 4486745239 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420675200000",
"number": "1609876747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 LOWELL ST",
"address_2": "ANDOVER MEDICAL CENTER & EXPRESSCARE",
"city": "ANDOVER",
"state": "MA",
"postal_code": "018104501",
"telephone_number": "978-783-5000",
"fax_number": "978-313-8184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 LOWELL ST",
"address_2": "ANDOVER MEDICAL CENTER & EXPRESSCARE",
"city": "ANDOVER",
"state": "MA",
"postal_code": "018104501",
"telephone_number": "978-783-5000",
"fax_number": "978-313-8184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "TATIANA",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-29",
"last_updated": "2015-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "216435",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2008777",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7205446",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH CARE",
"identifier": "697817",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "J26047",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC",
"identifier": "000000026163",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONSOLIDATED",
"identifier": "04-2945394",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "216435-7879",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9667788",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "04-2945394",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HNE",
"identifier": "32635",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREST-WEST",
"identifier": "04-2945394",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "2371688 02",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "123187",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "216435",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TATIANA",
"last_name": "SAPRYKINA",
"middle_name": "N",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.