Active NPI
Tamer Khafagy, MD
- Internal Medicine Physician
- Medford, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MT185546
- Practice address
- 170 Governors Ave
Medford, MA 02155-1643 - Phone
- (781) 306-6081
- NPI assigned
- Aug 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MT185546 | PA | Primary |
Addresses
Primary practice location
170 Governors Ave
Medford, MA 02155-1643
Mailing address
15 York PL
Unit 5
Cambridge, MA 02141-1904
Phone (201) 921-1642
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
133 Old Rd to 9 Acre Cor
Concord, MA 01742-4159
Phone (978) 287-3020
133 Old Rd to Nine Acre Corner
Mary Beth Misserville
Concord, MA 01742-4159
2033 Main St
Athol, MA 01331-3535
Phone (978) 249-3511
242 Green St
Gardner, MA 01440-1336
Phone (978) 632-3420
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT185546 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Heywood Memorial Hospital | Current | Accepting new patients | |
| Henry Heywood Memorial Hospital | Current | Accepting new patients | |
| Physicians of Cape Cod Hospital | Internal Medicine | Current | Accepting new patients |
| Emerson Practice Associates, Inc. | Internal Medicine | Current | Accepting new patients |
| Athol Memorial Hospital Incorporated | Current | Accepting new patients | |
| Aeger Inpatient Services | Internal Medicine | Past | Accepting new patients |
Locations
2033 Main St
Athol, MA 01331
Phone (978) 249-1295
133 Ornac
Concord, MA 01742
Phone (978) 287-3000
242 Green St
Gardner, MA 01440
Phone (978) 258-4734
27 Park St
Hyannis, MA 02601
Phone (508) 775-5011
70 East St
Methuen, MA 01844
Phone (978) 682-1906
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
Organizations & group practices 6
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.
-
- Critical Access Hospital
- Athol, MA
- NPI 1336120047
-
- Internal Medicine Physician
- Concord, MA
- NPI 1508020199
-
- General Acute Care Hospital
- Gardner, MA
- NPI 1205823879
-
- Neuroradiology Physician
- Hyannis, MA
- NPI 1679832364
Internal Medicine
-
- Psychiatric Hospital Unit
- Gardner, MA
- NPI 1457685299
-
- Internal Medicine Physician
- Medford, MA
- NPI 1578596599
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Athol, MA
- NPI 1336120047
-
- General Acute Care Hospital
- Gardner, MA
- NPI 1205823879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247356800000",
"number": "1932391422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 YORK PL",
"address_2": "UNIT 5",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021411904",
"telephone_number": "201-921-1642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 GOVERNORS AVE",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021551643",
"telephone_number": "781-306-6081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAFAGY",
"first_name": "TAMER",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-17",
"last_updated": "2009-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MT185546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.