Individual provider Active NPI

Tania V Menz, M.D.

  • Family Medicine Physician
  • Cornelius, NC
National Provider Identifier
1972864635
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2018-02623 Issued in NC
Practice address
19485 Old Jetton Rd Ste 100
Cornelius, NC 28031
Phone
(704) 384-1775
NPI assigned
May 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2018-02623 NC Primary
Family Medicine Physician 207Q00000X 263139 MA

Addresses

Primary practice location

19485 Old Jetton Rd Ste 100
Cornelius, NC 28031

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-1775

Other practice location 1

10 Adams St
N Chelmsford, MA 01863-1780
Phone (978) 251-3159

Other practice location 2

10 Adams St
N Chelmsford, MA 01863-1780
Phone (978) 251-3159

Other identifiers 1

IdentifierTypeStateIssuer
263139OtherMAMA LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tmenz715272@direct.novanthealth.org

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160330000782 MA Practitioner - Family Practice 6406084326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Massachusetts Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

234 Russell St
Hadley, MA 01035-3534
Phone (413) 586-6020

Hospital & facility affiliations

  • Vna & Hospice of Cooley Dickinson Home health agency, Northampton, MA, CCN 227021
  • Encompass Health Home Health Home health agency, Ludlow, MA, CCN 227611
  • Vna & Hospice of Cooley Dickinson Hospice, Northampton, MA, CCN 221506
  • Cooley Dickinson Hospital Inc,the Hospital, Northampton, MA, CCN 220015

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
263139MAMDFamily Medicine Physician
2018-02623NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group Western Massachusetts Inc Family Medicine CurrentSince Nov 1, 2021 Accepting new patients

Locations

234 Russell St
Hadley, MA 01035
Phone (413) 584-9888

234 Russell St
Ste 7
Hadley, MA 01035
Phone (413) 586-6020

30 Locust St
Northampton, MA 01060
Phone (413) 582-2000

Organizations & group practices 1

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 5

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": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1972864635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-384-1775",
            "fax_number": "704-384-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19485 OLD JETTON RD STE 100",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "28031",
            "telephone_number": "704-384-1775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Adams St",
            "address_purpose": "LOCATION",
            "city": "N Chelmsford",
            "state": "MA",
            "postal_code": "018631780",
            "country_code": "US",
            "telephone_number": "978-251-3159",
            "fax_number": "978-251-0636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Adams St",
            "address_purpose": "LOCATION",
            "city": "N Chelmsford",
            "state": "MA",
            "postal_code": "018631780",
            "country_code": "US",
            "telephone_number": "978-251-3159",
            "fax_number": "978-251-0636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENZ",
        "first_name": "TANIA",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2020-10-26",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2018-02623",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "263139",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA LICENSE",
            "identifier": "263139",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmenz715272@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "10 Adams St",
            "city": "N Chelmsford",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018631780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

Verify at the official NPI Registry.