Active NPI
Jonathan H Talamo, MD
- Ophthalmology Physician
- Waltham, MA
National Provider Identifier
1942292560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 72615
- Practice address
- 1601 Trapelo Rd
Suite 184
Waltham, MA 02451-7333 - Phone
- (781) 890-1023
- Fax
- (781) 890-2507
- NPI assigned
- Aug 19, 2005
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 72615 | MA | Primary |
Addresses
Primary practice location
1601 Trapelo Rd
Suite 184
Waltham, MA 02451-7333
Mailing address
1601 Trapelo Rd
Suite 184
Waltham, MA 02451-7333
Phone (781) 890-1023
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15005 | Other | MA | PILGRIM |
| 769215 | Other | CONECTICARE | |
| 92397 | Other | MA | US HEALTHCARE |
| 20721 | Other | FALLON COMMUNITY HP | |
| 23909 | Other | HEALTH NEW ENGLAND | |
| 18257 | Other | MD | JOHN HANCOCK |
| 719613 | Other | MA | TUFTS |
| 150612 | Other | HPHC | |
| 0012728 | Other | MA | NHP-MA |
| 438573 | Other | MA | AETNA/US HEALTHCARE |
| CE5062 | Other | RAILROAD MEDICARE | |
| 01599703 | Other | TRAVELERS | |
| 043260634 | Other | MD | CIGNA |
| TAJ10073 | Other | MA | BCBS-MA |
| 0993538 | Other | MD | AETNA/US HEALTHCARE HMO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72615 | MA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornea Consultants | Ophthalmology | Past | Accepting new patients |
| West Suburban Eye Surgery Center LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Surgisite North
- Ambulatory Surgical Clinic/Center
- Chelmsford, MA
- NPI 1194275230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360627200000",
"number": "1942292560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 TRAPELO RD",
"address_2": "SUITE 184",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024517333",
"telephone_number": "781-890-1023",
"fax_number": "781-890-2507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 TRAPELO RD",
"address_2": "SUITE 184",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024517333",
"telephone_number": "781-890-1023",
"fax_number": "781-890-2507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALAMO",
"first_name": "JONATHAN",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2013-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MA",
"license": "72615",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PILGRIM",
"identifier": "15005",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONECTICARE",
"identifier": "769215",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US HEALTHCARE",
"identifier": "92397",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMMUNITY HP",
"identifier": "20721",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NEW ENGLAND",
"identifier": "23909",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN HANCOCK",
"identifier": "18257",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "719613",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "150612",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP-MA",
"identifier": "0012728",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA/US HEALTHCARE",
"identifier": "438573",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CE5062",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAVELERS",
"identifier": "01599703",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "043260634",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-MA",
"identifier": "TAJ10073",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA/US HEALTHCARE HMO",
"identifier": "0993538",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.