Samuel D Allen, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

204598 Issued in MA

Practice address

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

Phone

(978) 688-6182

Fax

(978) 689-0731

NPI assigned

Nov 25, 2005

Last updated

Nov 25, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NH, MA2 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

Specialty

Ophthalmology

Education

Georgetown University School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tallman Eye BidcoGroup PAC ID 7315236866, 7 clinicians

Tallman Eye Associates PCGroup PAC ID 3577501063, 15 clinicians

Tallman Eye WhittierGroup PAC ID 3678982352, 7 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Tallman Eye Associates, PC

  • Ophthalmology Physician
  • Lawrence, MA
  • NPI 1194833467

  NH

  Medicare reassignment Care Compare group NPD
• Tallman Eye Bidco

  • Ophthalmology Physician
  • Lawrence, MA
  • NPI 1033419072
  Medicare reassignment Care Compare group NPD
• Tallman Eye Whittier

  • Ophthalmology Physician
  • Lawrence, MA
  • NPI 1639768229
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385337600000",
    "number": "1649253444",
    "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": "978-688-6182",
            "fax_number": "978-689-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "SAMUEL",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-25",
        "last_updated": "2013-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "204598",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NH",
            "license": "10852",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3091278",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110062674A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha Clarisa Aliaga, LMHC
• Sherryne Alisma
• All in One Transportation LLC
• Rosemary Allard
• Damon Vincent Allen, PA-C
• Sheila Allen, M.ED.
• Jasmine Allende, RN
• Deborah Allicon
• Allied Pharmacy Inc.
• Jacob Almada Gordon, MD

• Ophthalmology Physician in Lawrence, MA
• Providers in Lawrence, MA by specialty
• Ophthalmology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; 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.