Philip J Tavano, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

42398 Issued in MA

Practice address

20 Research PL
Suite 310
N Chelmsford, MA 01863-2454

Phone

(978) 459-2152

NPI assigned

Jul 7, 2006

Last updated

Nov 2, 2011By 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 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• New England Hospice II LLC

  dba New England Hospice

  • Community Based Hospice Care Agency
  • Hingham, MA
  • NPI 1558496323

  W-2 Managing Employee

  CMS ownership

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.

• Philip J Tavano MD PC

  dba merrimack valley internal medicine associates, pc

  • Internal Medicine Physician
  • N Chelmsford, MA
  • NPI 1801809967
  Authorized official Same address or phone
• LGH Medical Group, Inc.

  • Hospitalist Physician
  • Lowell, MA
  • NPI 1174698385
  NPD (past)
• New England Hospice II LLC

  dba New England Hospice

  • Community Based Hospice Care Agency
  • Hingham, MA
  • NPI 1558496323
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1710919238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 RESEARCH PL",
            "address_2": "SUITE 310",
            "city": "N CHELMSFORD",
            "state": "MA",
            "postal_code": "018632454",
            "telephone_number": "978-459-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 RESEARCH PL",
            "address_2": "SUITE 310",
            "city": "N CHELMSFORD",
            "state": "MA",
            "postal_code": "018632454",
            "telephone_number": "978-459-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVANO",
        "first_name": "PHILIP",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "42398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary St Amant, CNP
• Carolinda Suitor Sterczala, MSW LICSW
• Paul Sweeney, NP
• Nancy L Sydow, N.P.
• Arash Tabaee, M.D.
• The Pharmacy Forum
• Paula Tirone, LICSW
• Marlen Valdovinos
• Katherine Vansavage, MD
• Maricia Verma

• Internal Medicine Physician in N Chelmsford, MA
• Providers in N Chelmsford, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.