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
Hospital & facility affiliations 2
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
Practice addresses (Care Compare)
175 Carew St
Suite 200
Springfield, MA 01104-2391
Phone (413) 734-8254
Hospital & facility affiliations
- Mercy Medical Ctr
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230825002225 | MA | Practitioner - Nurse Practitioner | 8921461781 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverbend Medical Group, Inc | Current |
Accepting new patients | |
| Riverbend Medical Group, Inc. | Current |
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
- talam3112066@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 253Z00000X
- A&a Speech and Swallow Therapy LLC
- Thomas Stephan Adamczyk
- Bryan Albertelly
- John Allman
- Meghan Anastos
- Animal Assisted Psychotherapy of Ma
- Seema Arora
All providers in Lynnfield, MA · Adult Health Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.