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MICHAEL TAM
NPI 1619529518
Physician Assistant in Berkeley, CA

Active since July 10, 2019PECOS EnrolledAccepts Medicare Assignment
2850 TELEGRAPH AVE STE 120, BERKELEY, CA 94705(510) 204-8140 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2025, Oct 21, 2021, Jul 10, 2019 (3 updates tracked since 2019).

About Michael Tam NPPES

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

MICHAEL TAM (NPI 1619529518) is an individual physician assistant in Berkeley, California, licensed in California (PA61646) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Hinsdale, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1619529518
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMICHAEL TAM
Location Address2850 TELEGRAPH AVE STE 120Berkeley, CA 94705-1159
Mailing AddressPo Box 276950Sacramento, CA 95827-6950
Phone(510) 204-8140
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 10, 2019
Last NPPES UpdateMay 6, 20253 updates tracked since enumeration
NPPES CertifiedMay 6, 2025
✔ NPI 1619529518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in CA · PA61646✔ Licensed in IL · 085-008017
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2850 TELEGRAPH AVE STE 120, Berkeley, CA 94705
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Secondary Practice Location 1

Location 1550 W Ogden AveHinsdale, IL 60521-3186 · Phone (630) 323-6116 · Fax (630) 323-6169

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

Michael Tam 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 ID2567850365
PECOS Enrollment IDI20250514001771
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 94705 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
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 10

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

DR. KOVID TRIVEDI M.B.B.S.
Internal Medicine (Pulmonary Disease)
2850 TELEGRAPH AVE STE 120
BERKELEY, CA 94705
Alameda County (510) 204-1844
KELLEY C BOOTH NP
Nurse Practitioner (Family)
2850 TELEGRAPH AVE STE 120
BERKELEY, CA 94705
Alameda County (510) 204-8140
DR. JENNIFER AULT M.S., D.P.T., D.O.
Psychiatry & Neurology (Pain Medicine)
2850 TELEGRAPH AVE STE 120
BERKELEY, CA 94705
Alameda County (510) 204-8150
VICTOR SAM WANG
Psychiatry & Neurology (Neurology)
2850 TELEGRAPH AVE STE 120
BERKELEY, CA 94705
Alameda County (510) 204-8140
DR. VISWAM SIVA NAIR MD
Internal Medicine (Pulmonary Disease)
2850 TELEGRAPH AVE STE 120
BERKELEY, CA 94705
Alameda County (510) 204-8140
CHRISTINA KWAN MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2850 TELEGRAPH AVE STE 120
BERKELEY, CA 94705
Alameda County (510) 204-8140
SEPEHR REJAI M.D.
Pain Medicine (Pain Medicine)
2850 TELEGRAPH AVE STE 120
BERKELEY, CA 94705
Alameda County (510) 204-8140
DR. ZACHARY CLIFFORD LANDMAN M.D.
Pain Medicine (Interventional Pain Medicine)
2850 TELEGRAPH AVE STE 120
BERKELEY, CA 94705
Alameda County (510) 204-8140

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 Michael Tam's NPI number?

The NPI number for Michael Tam is 1619529518. It was assigned to this individual provider in the NPPES registry on July 10, 2019.

Where is Michael Tam located?

Michael Tam practices at 2850 Telegraph Ave Ste 120, Berkeley, CA 94705. The listed phone number is (510) 204-8140.

What is Michael Tam's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Michael Tam enrolled in Medicare?

Yes. Michael Tam 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.

When was this NPI record last updated?

The NPPES record for Michael Tam was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.