Individual provider Active NPI

Heema Kaul, M.D.

  • Ophthalmology Physician
  • Lawrence, MA
National Provider Identifier
1891961736
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
242472 Issued in MA
Practice address
360 Merrimack St
BLDG 9, Entrance I
Lawrence, MA 01843-1740
Phone
(978) 688-6182
Fax
(978) 689-0731
NPI assigned
Apr 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 242472 MA Primary

Addresses

Primary practice location

360 Merrimack St
BLDG 9, Entrance I
Lawrence, MA 01843-1740

Mailing address

360 Merrimack St
BLDG 9, Entrance I
Lawrence, MA 01843-1740
Phone (978) 688-6182

Other identifiers 1

IdentifierTypeStateIssuer
110087423AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 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
I20101216000461 MA Practitioner - Ophthalmology 0244428399 Reassigns benefits to 3 organizations
I20140331000406 NH Practitioner - Ophthalmology 0244428399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Boston University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tallman Eye Associates PCGroup PAC ID 3577501063, 15 clinicians
Tallman Eye BidcoGroup PAC ID 7315236866, 7 clinicians
Tallman Eye WhittierGroup PAC ID 3678982352, 7 clinicians

Practice addresses (Care Compare)

29 Stiles Rd
Suite 101
Salem, NH 03079-5802
Phone (603) 893-7400

360 Merrimack St
Suite 9
Lawrence, MA 01843-1764
Phone (978) 688-6182

360 Merrimack Street BLDG 9 Entrance
Lawrence, MA 01843-1764
Phone (978) 688-6182

451 Andover St
North Andover, MA 01845-5044
Phone (978) 688-6182

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
242472MAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tallman Eye Bidco Ophthalmology CurrentSince Feb 20, 2016 Accepting new patients
Tallman Eye Whittier Ophthalmology CurrentSince Jan 12, 2021 Accepting new patients
Tallman Eye Associates, PC Ophthalmology CurrentSince Oct 1, 2013 Accepting new patients

Locations

349 N Main St
Andover, MA 01810
Phone (978) 475-0959

360 Merrimack St
Lawrence, MA 01843
Phone (978) 557-8800

360 Merrimack St
Ste 9
Lawrence, MA 01843
Phone (978) 552-4000

360 Merrimack St
Ste 1
Lawrence, MA 01843
Phone (978) 557-8800

451 Andover St
North Andover, MA 01845
Phone (978) 687-1313

451 Andover St
Ste G7
North Andover, MA 01845

29 Stiles Rd
Ste 101
Salem, NH 03079
Phone (603) 893-7400

Interoperability endpoints

  • Direct secure messaging: hkaul@tea.ecldirect.net

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386028800000",
    "number": "1891961736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 MERRIMACK ST",
            "address_2": "BLDG 9, ENTRANCE I",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431740",
            "telephone_number": "978-688-6182",
            "fax_number": "978-689-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 MERRIMACK ST",
            "address_2": "BLDG 9, ENTRANCE I",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431740",
            "telephone_number": "978-688-6182",
            "fax_number": "978-689-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUL",
        "first_name": "HEEMA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-30",
        "last_updated": "2013-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "242472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110087423A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

Verify at the official NPI Registry.