ELIZABETH THIDEMANN PA-C
NPI 1629791975
Physician Assistant - Medical in Cambridge, MA

Q: What is Elizabeth Thidemann's NPI number?

The NPI number for Elizabeth Thidemann is 1629791975. It was assigned to this individual provider in the NPPES registry on September 21, 2022.

Q: What is Elizabeth Thidemann's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since September 21, 2022PECOS EnrolledAccepts Medicare Assignment

725 CONCORD AVE STE 6100, CAMBRIDGE, MA 02138(617) 864-8822(617) 491-4692 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 10, 2024, Sep 21, 2022 (2 updates tracked since 2022).

On this page

About Elizabeth Thidemann Pa-c NPPES

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

ELIZABETH THIDEMANN PA-C (NPI 1629791975) is an individual medical provider in Cambridge, Massachusetts, licensed in Massachusetts (PA100051) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with Mount Auburn Hospital, and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1629791975

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameELIZABETH THIDEMANNCredential: PA-C

Location Address725 CONCORD AVE STE 6100Cambridge, MA 02138-1040

Mailing Address330 Mount Auburn St # 2Cambridge, MA 02138-5597 · (617) 864-8822

Phone(617) 864-8822

Fax(617) 491-4692

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateSeptember 21, 2022

Last NPPES UpdateAugust 29, 20242 updates tracked since enumeration

NPPES CertifiedAugust 29, 2024

✔ NPI 1629791975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MA · PA100051

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA100051 (MA)

725 CONCORD AVE STE 6100, Cambridge, MA 02138

Open in Google Maps ↗

Secondary Practice Location 1

Location 1360 Huntington Avenue, 202 Robinson HallBoston, MA 02115 · Phone (617) 373-3195

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 and accepts Medicare assignment

Elizabeth Thidemann Pa-c 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 ID2860934577

PECOS Enrollment IDI20240610002981

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 4

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

133 services118 patients

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.

130 services110 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

45 services42 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

13 services11 patients

Hospital Affiliations CMS Care Compare

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

Other Providers at the Same Location NPPES 4

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

SONGPROD LORGUNPAI M.D.

Internal Medicine

725 CONCORD AVE STE 6100
CAMBRIDGE, MA 02138

Middlesex County (617) 864-8822

SARAH MCARDLE LICSW

Social Worker (Clinical)

725 CONCORD AVE STE 6100
CAMBRIDGE, MA 02138

Middlesex County (617) 864-8822

MARTHA N MARTENTS M.D.

Internal Medicine

725 CONCORD AVE STE 6100
CAMBRIDGE, MA 02138

Middlesex County (161) 786-4882

EMILY MARBAS MD

Family Medicine

725 CONCORD AVE STE 6100
CAMBRIDGE, MA 02138

Middlesex County (614) 864-8822

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 Elizabeth Thidemann's NPI number?

The NPI number for Elizabeth Thidemann is 1629791975. It was assigned to this individual provider in the NPPES registry on September 21, 2022.

Where is Elizabeth Thidemann located?

Elizabeth Thidemann practices at 725 Concord Ave Ste 6100, Cambridge, MA 02138. The listed phone number is (617) 864-8822.

What is Elizabeth Thidemann's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Elizabeth Thidemann enrolled in Medicare?

Yes. Elizabeth Thidemann 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 Elizabeth Thidemann accept?

Health plans from Anthem Blue Cross and Blue Shield list Elizabeth Thidemann 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 Elizabeth Thidemann affiliated with any hospitals?

According to CMS data, Elizabeth Thidemann is affiliated with Mount Auburn Hospital.

When was this NPI record last updated?

The NPPES record for Elizabeth Thidemann was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.