MANISH TANDON MD
NPI 1417021437
Internal Medicine - Gastroenterology in Somerville, MA

Active since November 20, 2006PECOS EnrolledAccepts Medicare Assignment
230 HIGHLAND AVE, MEDICAL SPECIALTIES, SOMERVILLE, MA 02143(617) 665-1552 Get Directions Write a Review

NPPES record last updated: November 15, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Manish Tandon Md NPPES

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

MANISH TANDON MD (NPI 1417021437) is an individual gastroenterology provider in Somerville, Massachusetts, licensed in Massachusetts (155573) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Mount Auburn Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1417021437
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameMANISH TANDONCredential: MD
Location Address230 HIGHLAND AVE, MEDICAL SPECIALTIESSomerville, MA 02143-1408
Mailing Address230 Highland Ave, Medical SpecialtiesSomerville, MA 02143-1408 · (617) 665-1552
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateNovember 20, 2006
Last NPPES UpdateNovember 15, 2007
NPI 1417021437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in MA · 155573
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
230 HIGHLAND AVE, Somerville, MA 02143

Other Identifiers 4

OtherJ24432MA · Bcbs Ma
Medicaid0186619MA
Medicare PINSX3705MA
Medicare UPING90468

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Manish Tandon Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426041302
PECOS Enrollment IDI20040406001287
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.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
256 services141 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
82 services82 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
74 services74 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
65 services45 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
53 services33 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
49 services49 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mount Auburn Hospital

Acute Care Hospitals · Cambridge, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220002
Location330 Mount Auburn StreetCambridge, MA 02138 · Middlesex County
Emergency services Birthing friendly

St Elizabeth's Medical Center

Acute Care Hospitals · Brighton, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220036
Location736 Cambridge StreetBrighton, MA 02135 · Suffolk County
Emergency services Birthing friendly

Good Samaritan Medical Center

Acute Care Hospitals · Brockton, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220111
Location235 North Pearl StreetBrockton, MA 02301 · Plymouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02143 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
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.

Community Health Worker
230 HIGHLAND AVE, S.O.N, ROOM 401
SOMERVILLE, MA 02143
Pharmacist
230 HIGHLAND AVE
SOMERVILLE, MA 02143
Occupational Therapist
230 HIGHLAND AVE
SOMERVILLE, MA 02143
Registered Nurse
230 HIGHLAND AVE, SOMERVILLE HOSPITAL
SOMERVILLE, MA 02143
Community Health Worker
230 HIGHLAND AVE, SON, SUITE 405
SOMERVILLE, MA 02143
Psychiatric Unit
230 HIGHLAND AVE
SOMERVILLE, MA 02143
Registered Nurse
230 HIGHLAND AVE
SOMERVILLE, MA 02143
Community Health Worker
230 HIGHLAND AVE
SOMERVILLE, MA 02143

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 Manish Tandon's NPI number?

The NPI number for Manish Tandon is 1417021437. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Manish Tandon located?

Manish Tandon practices at 230 Highland Ave Medical Specialties, Somerville, MA 02143. The listed phone number is (617) 665-1552.

What is Manish Tandon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Manish Tandon enrolled in Medicare?

Yes. Manish Tandon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Manish Tandon accept?

Health plans from Anthem Blue Cross and Blue Shield list Manish Tandon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Manish Tandon affiliated with any hospitals?

According to CMS data, Manish Tandon is affiliated with Mount Auburn Hospital, St Elizabeth's Medical Center and Good Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for Manish Tandon was last updated on November 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.