NPIMap

Individual provider Active NPI

Indra Tambar, MD

  • Family Medicine Physician
  • North Tonawanda, NY
National Provider Identifier
1992771794
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1472781 Issued in NY
Practice address
415 Tremont St
Suite 3, 2ND Floor
North Tonawanda, NY 14120-6135
Phone
(716) 690-2367
Fax
(716) 690-2419
NPI assigned
Feb 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1472781 NY Primary

Addresses

Primary practice location

415 Tremont St
Suite 3, 2ND Floor
North Tonawanda, NY 14120-6135

Mailing address

415 Tremont St
Suite 3
North Tonawanda, NY 14120-6135
Phone (716) 690-2367

Other identifiers 3

IdentifierTypeStateIssuer
000500973001OtherNYBLUE CROSS
00010177201OtherNYUNIVERA
00686939MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070220000241 NY Practitioner - Family Practice 1951403021 Reassigns benefits to 1 organization
Practice locations: North Tonawanda, NY

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
General Physician PCGroup PAC ID 9537213079, 488 clinicians

Practice addresses (Care Compare)

415 Tremont St
North Tonawanda, NY 14120-6135
Phone (716) 710-8266

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1472781NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
General Physician, PC CurrentSince Jul 1, 2023 Accepting new patients
Federico Gonzalez-Doldan, M.D., P.C. Past Accepting new patients
Audiology Service Associates, PC Past Accepting new patients

Locations

3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515

415 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2691

415 Tremont St
#3
North Tonawanda, NY 14120
Phone (716) 693-3500

415 Tremont St
Ste 3
North Tonawanda, NY 14120
Phone (716) 220-8002

415 Tremont St
Fl 2
North Tonawanda, NY 14120

Interoperability endpoints

  • Direct secure messaging: itambar@gppc.medentdirect.com

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.

Hospital & facility affiliations 8

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1992771794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 TREMONT ST",
            "address_2": "SUITE 3",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141206135",
            "telephone_number": "716-690-2367",
            "fax_number": "716-690-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 TREMONT ST",
            "address_2": "SUITE 3, 2ND FLOOR",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141206135",
            "telephone_number": "716-690-2367",
            "fax_number": "716-690-2419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMBAR",
        "first_name": "INDRA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "1472781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000500973001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00010177201",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00686939",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Tonawanda, NY

Sources for this page

Verify at the official NPI Registry.