Individual provider Active NPI

David S Tarr, D.P.M.

  • Podiatrist
  • Lowell, MA
National Provider Identifier
1760475495
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1469 Issued in MA
Practice address
92 Merrimack St
Lowell, MA 01852-1720
Phone
(978) 441-0197
Fax
(978) 441-0177
NPI assigned
Aug 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1469 MA Primary

Addresses

Primary practice location

92 Merrimack St
Lowell, MA 01852-1720

Mailing address

92 Merrimack St
P. O. Box 9009
Lowell, MA 01852-1720
Phone (978) 441-0197

Other identifiers 1

IdentifierTypeStateIssuer
0360902MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050622001159 MA Practitioner - Podiatry 3577508316 Practice locations: Lowell, MA; Orange, MA
O20100930009025 MA DME Supplier - Physician - Podiatry 1557489796 Practice locations: Lowell, MA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15 W River St
Orange, MA 01364-1408
Phone (978) 544-9055

92 Merrimack St
Lowell, MA 01852-1720
Phone (978) 441-0197

Hospital & facility affiliations

  • Athol Memorial Hospital Hospital, Athol, MA, CCN 221303

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision38
Removal of tissue282
Removal of skin lesions317
Removal of nail tissue1292
Removal or shaving of skin growth1216
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
1469MAMDRegistered Dietitian
1649MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orange Pulmonary and Internal Medicine Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760475495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 MERRIMACK ST",
            "address_2": "P. O. BOX 9009",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521720",
            "telephone_number": "978-441-0197",
            "fax_number": "978-441-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 MERRIMACK ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521720",
            "telephone_number": "978-441-0197",
            "fax_number": "978-441-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARR",
        "first_name": "DAVID",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "1469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360902",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.