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TIM NIYOGUSABA
NPI 1407524697
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since September 01, 2021PECOS Enrolled
15 PARKMAN ST, BOSTON, MA 02114(781) 485-1000(781) 286-5418 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Tim Niyogusaba NPPES

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

TIM NIYOGUSABA (NPI 1407524697) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1407524697
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTIM NIYOGUSABA
Location Address15 PARKMAN STBoston, MA 02114-3117
Mailing Address15 Parkman StBoston, MA 02114-3117 · (781) 485-1000 · Fax (781) 286-5418
Phone(781) 485-1000
Fax(781) 286-5418
Sole ProprietorNo
Enumeration DateSeptember 1, 2021
Last NPPES UpdateJune 8, 2023
NPPES CertifiedJune 8, 2023
✔ NPI 1407524697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
15 PARKMAN ST, Boston, MA 02114
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Secondary Practice Location 1

Location 1201 Dowman Dr NEAtlanta, GA 30322-1061 · Phone (404) 727-6123

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tim Niyogusaba 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.

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.

MRS. PATRICIA NOREEN FINNERAN NP-C
Nurse Practitioner (Adult Health)
15 PARKMAN ST, WAC 440
BOSTON, MA 02114
Suffolk County (617) 643-4709
MISS BRYANA CAREY PT, DPT
Physical Therapist
15 PARKMAN ST
BOSTON, MA 02114
Suffolk County (617) 643-4373
DR. WILLIAM ELLIS FALK MD
Psychiatry & Neurology (Geriatric Psychiatry)
15 PARKMAN ST, PSYCHIATRY OUTPATIENT DEPARTMENT WAC 812
BOSTON, MA 02114
Suffolk County (617) 726-5600
MRS. LILIAN DAYAN-CIMADORO PT,DPT,MS,NCS,CLT-LA
Physical Therapist (Neurology)
15 PARKMAN ST, ROOM 134
BOSTON, MA 02114
Suffolk County (617) 724-7484
MS. ANGELA MARY HAUBER DPT
Physical Therapist
15 PARKMAN ST
BOSTON, MA 02114
Suffolk County (617) 726-2962
JACKIE A MULGREW PT
Physical Therapist
15 PARKMAN ST, WACC 134
BOSTON, MA 02114
Suffolk County (617) 726-7487
MS. MARY S KNAB P.T.
Physical Therapist
15 PARKMAN ST
BOSTON, MA 02114
Suffolk County (617) 724-6398
DR. JAMES ELTON GROVES MD
Psychiatry & Neurology (Psychiatry)
15 PARKMAN ST, WAC 8 PSYCHIATRY OUTPATIENT DEPARTMENT
BOSTON, MA 02114
Suffolk County (617) 726-2714

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 Tim Niyogusaba's NPI number?

The NPI number for Tim Niyogusaba is 1407524697. It was assigned to this individual provider in the NPPES registry on September 1, 2021.

Where is Tim Niyogusaba located?

Tim Niyogusaba practices at 15 Parkman St, Boston, MA 02114. The listed phone number is (781) 485-1000.

What is Tim Niyogusaba's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tim Niyogusaba enrolled in Medicare?

Yes. Tim Niyogusaba is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tim Niyogusaba was last updated on June 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.