Tanzeem Alam

Individual provider Active NPI Adult Health Nurse Practitioner · Lynnfield, MA

NPI 1821773136 · NPPES record last updated Aug 11, 2023

Key facts

NPI
1821773136
Entity type
Individual (NPI type 1)
Primary specialty
Adult Health Nurse Practitioner 363LA2200X
License
RN2348703 (MA)
Practice address
1350 Market St
Lynnfield, MA 01940-4048
Phone
(781) 213-4050
NPI assigned
Jun 15, 2023
Sex
Female
Sole proprietor
No

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 2

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

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverbend Medical Group Inc (227 clinicians)

Practice addresses (Care Compare)

175 Carew St
Suite 200
Springfield, MA 01104-2391
Phone (413) 734-8254

Hospital & facility affiliations

  • Mercy Medical Ctr Hospital · Springfield, MA · CCN 220066

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230825002225 MA Practitioner - Nurse Practitioner 8921461781 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Riverbend Medical Group, Inc Current
since Jan 8, 2024
Accepting new patients
Riverbend Medical Group, Inc. Current
since Jan 8, 2024
Accepting new patients
Mwa,PC Past Accepting new patients

Locations

175 Carew St
Ste 200
Springfield, MA 01104
Phone (413) 734-8254

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

Interoperability endpoints

  • Direct secure messaging: talam3112066@direct.trinity-health.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2348703 MA
Adult Health Nurse Practitioner 363LA2200X RN2348703 MA Yes

Addresses

Primary practice location

1350 Market St
Lynnfield, MA 01940-4048

Mailing address

1350 Market St
Lynnfield, MA 01940-4048

Other providers in Lynnfield, MA

All providers in Lynnfield, MA · Adult Health Nurse Practitioner in Massachusetts

Sources for this page

Verify at the official NPI Registry.