CALVIN THAM FNP-BC
NPI 1114641214
Nurse Practitioner in Boston, MA

Active since October 03, 2022PECOS Enrolled
185 PILGRIM RD, BOSTON, MA 02215(617) 667-7000 Get Directions Write a Review

NPPES record last updated: December 13, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 13, 2022, Oct 3, 2022 (2 updates tracked since 2022).

About Calvin Tham Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CALVIN THAM FNP-BC (NPI 1114641214) is an individual nurse practitioner in Boston, Massachusetts, licensed in Massachusetts (RN2300087) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114641214
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameCALVIN THAMCredential: FNP-BC
Location Address185 PILGRIM RDBoston, MA 02215-5324
Mailing Address452 Hanover StHanover, MA 02339-2217 · (781) 888-0196
Sole ProprietorNo
Enumeration DateOctober 3, 2022
Last NPPES UpdateDecember 13, 20222 updates tracked since enumeration
NPPES CertifiedDecember 13, 2022
NPI 1114641214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MA · RN2300087
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License RN2300087 (MA)
185 PILGRIM RD, Boston, MA 02215

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Calvin Tham Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
185 PILGRIM RD, DEACONESS 319
BOSTON, MA 02215
Social Worker (Clinical)
185 PILGRIM RD
BOSTON, MA 02215
Podiatrist
185 PILGRIM RD, DIVISION OF PODIATRY
BOSTON, MA 02215
Internal Medicine (Infectious Disease)
185 PILGRIM RD
BOSTON, MA 02215
Social Worker (Clinical)
185 PILGRIM RD
BOSTON, MA 02215
Social Worker (Clinical)
185 PILGRIM RD
BOSTON, MA 02215
Social Worker (Clinical)
185 PILGRIM RD
BOSTON, MA 02215
Internal Medicine (Nephrology)
185 PILGRIM RD
BOSTON, MA 02215

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Calvin Tham's NPI number?

The NPI number for Calvin Tham is 1114641214. It was assigned to this individual provider in the NPPES registry on October 3, 2022.

Where is Calvin Tham located?

Calvin Tham practices at 185 Pilgrim Rd, Boston, MA 02215. The listed phone number is (617) 667-7000.

What is Calvin Tham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Calvin Tham enrolled in Medicare?

Yes. Calvin Tham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Calvin Tham was last updated on December 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.