Individual provider Active NPI

Tamar Zakheim, PA-C

  • Physician Assistant
  • Washington, DC
National Provider Identifier
1770837650
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA030891 Issued in DC
Practice address
4910 Massachusetts Ave NW Ste 215
Washington, DC 20016-4368
Phone
(202) 953-0990
Fax
(202) 845-7344
NPI assigned
Oct 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA030891 DC Primary

Addresses

Primary practice location

4910 Massachusetts Ave NW Ste 215
Washington, DC 20016-4368

Mailing address

4910 Massachusetts Ave NW Ste 215
Washington, DC 20016-4368
Phone (202) 953-0990

Other identifiers 1

IdentifierTypeStateIssuer
PA030891OtherDCDC PA LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121220000274 DC Practitioner - Physician Assistant 4587816525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ackerly McBride Group PLLCGroup PAC ID 5991143927, 2 clinicians

Practice addresses (Care Compare)

4910 Massachusetts Ave NW
Suite 215
Washington, DC 20016-4368
Phone (202) 953-0990

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA030891DCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Immutech-Midatlantic, LLC Current Accepting new patients
Potomac Physician Associates Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tamar.zakheim@670646104817668.direct.elationemr.com

Organizations & group practices 3

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": "1351641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1770837650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 MASSACHUSETTS AVE NW STE 215",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164368",
            "telephone_number": "202-953-0990",
            "fax_number": "202-845-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 MASSACHUSETTS AVE NW STE 215",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164368",
            "telephone_number": "202-953-0990",
            "fax_number": "202-845-7344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKHEIM",
        "first_name": "TAMAR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-31",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DC",
            "license": "PA030891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC PA LICENSE",
            "identifier": "PA030891",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.