Active NPI
David S Tarr, D.P.M.
- Podiatrist
- Lowell, MA
National Provider Identifier
1760475495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1469
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0360902 | Medicaid | MA |
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: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 38 |
| Removal of tissue | 282 |
| Removal of skin lesions | 317 |
| Removal of nail tissue | 1292 |
| Removal or shaving of skin growth | 1216 |
| Skin biopsy | 1-10 |
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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1469 | MA | MD | Registered Dietitian |
| 1649 | MA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Pulmonary Disease Physician
- Orange, MA
- NPI 1598806879
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Athol, MA
- NPI 1336120047
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.