Individual provider Active NPI

Tahir Tellioglu, M.D.

  • Addiction Psychiatry Physician
  • Boston, MA
National Provider Identifier
1871535534
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
277173 Issued in MA
Practice address
100 Blossom St
MGH Cox Clinic
Boston, MA 02114-0211
Phone
(617) 643-5457
Fax
(617) 726-8950
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35084 NH
Psychiatry Physician 2084P0800X 0101284621 VA
Addiction Psychiatry Physician 2084P0802X 277173 MA Primary
Psychiatry Physician 2084P0800X MD12140 RI
Psychiatry Physician 2084P0800X 043151 CT
Psychiatry Physician 2084P0800X 338440 NY
Psychiatry Physician 2084P0800X ME179175 FL
Psychiatry Physician 2084P0800X 61865 KY
Psychiatry Physician 2084P0800X C207425 CA
Psychiatry Physician 2084P0800X 109819 GA
Psychiatry Physician 2084P0800X MD29348 ME
Psychiatry Physician 2084P0800X 2024-03114 NC
Psychiatry Physician 2084P0800X MD493016 PA
Psychiatry Physician 2084P0800X W0750 TX
Psychiatry Physician 2084P0800X 25MA12996600 NJ

Addresses

Primary practice location

100 Blossom St
MGH Cox Clinic
Boston, MA 02114-0211

Mailing address

175 Joseph CT
Warwick, RI 02886-9545
Phone (203) 843-2928

Other practice location 1

255 S Orange Ave Ste 104
Orlando, FL 32801-3411
Phone (205) 964-2924

Other practice location 2

10 Dorrance St Ste 700
Providence, RI 02903-2014
Phone (205) 964-2924

Other practice location 3

15497 W Sand St
Victorville, CA 92392-2910
Phone (442) 327-9311

Other practice location 4

741 Piedmont Ave NE Ste 200
Atlanta, GA 30308-1420
Phone (678) 701-7073

Other practice location 5

20 Foundry St Fl 2
Concord, NH 03301-5419
Phone (617) 643-5457

Other practice location 6

1245 Farmington Ave
West Hartford, CT 06107-2667
Phone (205) 964-2924

Other identifiers 1

IdentifierTypeStateIssuer
11583072OtherRICAQH PROVIDER ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060920000427 RI Practitioner - PsychiatryPractitioner - Addiction Medicine 5799780037 Reassigns benefits to 1 organization
I20181205003213 MA Practitioner - Psychiatry 5799780037 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Massachusetts General Physicians Organization IncGroup PAC ID 2466365820, 3,494 clinicians
The General Hospital CorporationGroup PAC ID 6507803806, 1,275 clinicians

Practice addresses (Care Compare)

1 Constitution PLZ
Suite 140
Charlestown, MA 02129-2025
Phone (617) 724-5202

55 Fruit St
Boston, MA 02114-2621
Phone (617) 726-2000

55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287

Hospital & facility affiliations

  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C207425CAMDPsychiatry Physician
ME179175FLMDPsychiatry Physician
109819GAMDPsychiatry Physician
61865KYMDPsychiatry Physician
MD29348MEMDPsychiatry Physician
2024-03114NCMDPsychiatry Physician
35084NHMDPsychiatry Physician
25MA12996600NJMDPsychiatry Physician
338440NYMDPsychiatry Physician
MD493016PAMDPsychiatry Physician
MD12140RIMDPsychiatry Physician
W0750TXMDPsychiatry Physician
0101284621VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Nov 29, 2018 Accepting new patients
General Hospital Corp Current Accepting new patients
Rhode Island Hospital Psychiatry CurrentSince Jun 1, 2017 Accepting new patients
Massachusetts General Physicians Organization Inc Psychiatry CurrentSince Nov 29, 2018 Accepting new patients
Natchaug Hospital, Inc. Past Accepting new patients

Locations

100 Blossom St
Boston, MA 02114
Phone (617) 724-8770

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

55 Fruit St
Boston, MA 02114

1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000

593 Eddy St
Rm 38
Providence, RI 02903
Phone (401) 444-4779

593 Eddy St
#970
Providence, RI 02903
Phone (401) 444-2128

593 Eddy St
Providence, RI 02903

593 Eddy St
#3
Providence, RI 02903
Phone (401) 444-3534

200 Corliss St
#1
Providence, RI 02904
Phone (401) 606-8530

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

593 Eddy St
Ste 9B
Providence, RI 02903
Phone (401) 444-5280

Interoperability endpoints

  • Direct secure messaging: tellioglu.tahir.mgh@direct.partners.masshiway.net

Organizations & group practices 5

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.

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    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1871535534",
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            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
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            "address_1": "175 JOSEPH CT",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028869545",
            "telephone_number": "203-843-2928",
            "fax_number": "270-216-6261"
        },
        {
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            "address_purpose": "LOCATION",
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            "postal_code": "021140211",
            "telephone_number": "617-643-5457",
            "fax_number": "617-726-8950"
        }
    ],
    "practiceLocations": [
        {
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            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Dorrance St Ste 700",
            "address_purpose": "LOCATION",
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            "postal_code": "029032014",
            "country_code": "US",
            "telephone_number": "205-964-2924",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
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            "postal_code": "923922910",
            "country_code": "US",
            "telephone_number": "442-327-9311",
            "country_name": "United States",
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        {
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            "country_code": "US",
            "telephone_number": "678-701-7073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Foundry St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033015419",
            "country_code": "US",
            "telephone_number": "617-643-5457",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1245 Farmington Ave",
            "address_purpose": "LOCATION",
            "city": "West Hartford",
            "state": "CT",
            "postal_code": "061072667",
            "country_code": "US",
            "telephone_number": "205-964-2924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TELLIOGLU",
        "first_name": "TAHIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NH",
            "license": "35084",
            "primary": false
        },
        {
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            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101284621",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "MA",
            "license": "277173",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "RI",
            "license": "MD12140",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "043151",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "338440",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME179175",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "61865",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C207425",
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        },
        {
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            "taxonomy_group": "",
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            "state": "GA",
            "license": "109819",
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        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ME",
            "license": "MD29348",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2024-03114",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD493016",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "W0750",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA12996600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID",
            "identifier": "11583072",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.