Individual provider Active NPI

Christopher Thomas Tallman, MD

  • Urology Physician
  • Coconut Creek, FL
National Provider Identifier
1962897074
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME149596 Issued in FL
Practice address
4515 Wiles Rd Ste 201
Coconut Creek, FL 33073-3414
Phone
(954) 943-1133
Fax
(954) 783-6845
NPI assigned
Apr 6, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME149596 FL Primary

Addresses

Primary practice location

4515 Wiles Rd Ste 201
Coconut Creek, FL 33073-3414

Mailing address

4515 Wiles Rd Ste 201
Coconut Creek, FL 33073-3414
Phone (954) 943-1133

Other practice location 1

1601 Clint Moore Rd Ste 195
Boca Raton, FL 33487-5716
Phone (561) 495-7570

Other practice location 2

5258 Linton Blvd Ste 203
Delray Beach, FL 33484-6529
Phone (561) 495-7570

Other practice location 3

601 E Sample Rd Ste 105
Deerfield Beach, FL 33064-4443
Phone (954) 943-1133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210422000504 FL Practitioner - Urology 6507151362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology Medical Specialists, PAGroup PAC ID 2466604616, 11 clinicians

Practice addresses (Care Compare)

4515 Wiles Rd
Suite 201
Coconut Creek, FL 33073-3414
Phone (954) 943-1133

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME149596FLMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Medical Specialists, PA Urology CurrentSince Jan 3, 2022 Accepting new patients
Urology Medical Specialists, PA Urology CurrentSince Jan 3, 2022 Accepting new patients

Locations

1601 Clint Moore Rd
Ste 195
Boca Raton, FL 33487
Phone (561) 495-7570

4515 Wiles Rd
Ste 201
Coconut Creek, FL 33073
Phone (954) 943-1133

601 E Sample Rd
Ste 105
Deerfield Beach, FL 33064
Phone (954) 344-2522

5258 Linton Blvd
Ste 203
Delray Beach, FL 33484
Phone (561) 495-7570

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.

Hospital & facility affiliations 9

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.

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1962897074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 WILES RD STE 201",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733414",
            "telephone_number": "954-943-1133",
            "fax_number": "954-783-6845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 WILES RD STE 201",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733414",
            "telephone_number": "954-943-1133",
            "fax_number": "954-783-6845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Clint Moore Rd Ste 195",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334875716",
            "country_code": "US",
            "telephone_number": "561-495-7570",
            "fax_number": "561-496-7074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5258 Linton Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334846529",
            "country_code": "US",
            "telephone_number": "561-495-7570",
            "fax_number": "561-496-7074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 E Sample Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "330644443",
            "country_code": "US",
            "telephone_number": "954-943-1133",
            "fax_number": "954-783-6845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALLMAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-06",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME149596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

Verify at the official NPI Registry.