MR. MICHAEL DAVID TENENBAUM N.P.
NPI 1477802205
Nurse Practitioner - Adult Health in Boston, MA

Q: What is Michael Tenenbaum's NPI number?

The NPI number for Michael Tenenbaum is 1477802205. It was assigned to this individual provider in the NPPES registry on September 7, 2012.

Q: What is Michael Tenenbaum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Michael Tenenbaum was last updated on October 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since September 07, 2012PECOS Enrolled

30 NORTHAMPTON STREET, BOSTON, MA 02118(617) 433-9601(617) 445-6538 Get Directions Write a Review

NPPES record last updated: October 22, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Michael David Tenenbaum N.p. NPPES

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

MR. MICHAEL DAVID TENENBAUM N.P. (NPI 1477802205) is an individual adult health provider in Boston, Massachusetts, licensed in Massachusetts (RN2270217) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477802205

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameMR. MICHAEL DAVID TENENBAUMCredential: N.P.

Location Address30 NORTHAMPTON STREETBoston, MA 02118-4010

Mailing Address30 Northampton StreetBoston, MA 02118-4010 · (617) 433-9601 · Fax (617) 445-6538

Phone(617) 433-9601

Fax(617) 445-6538

Sole ProprietorNo

Enumeration DateSeptember 7, 2012

Last NPPES UpdateOctober 22, 2015

✔ NPI 1477802205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in MA · RN2270217

30 NORTHAMPTON STREET, Boston, MA 02118

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Michael David Tenenbaum N.p. 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 02118 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.

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