TAMMER MASOUD MD
NPI 1669959227
Student in an Organized Health Care Education/Training Program in Worcester, MA

Q: What is Tammer Masoud's NPI number?

The NPI number for Tammer Masoud is 1669959227. It was assigned to this individual provider in the NPPES registry on July 25, 2018.

Q: What is Tammer Masoud's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tammer Masoud was last updated on August 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 July 25, 2018PECOS Enrolled

279 LINCOLN ST, WORCESTER, MA 01605(508) 334-8830(508) 334-8810 Get Directions Write a Review

NPPES record last updated: August 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2018, Jul 25, 2018 (2 updates tracked since 2018).

On this page

About Tammer Masoud Md NPPES

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

TAMMER MASOUD MD (NPI 1669959227) is an individual student in an organized health care education/training program in Worcester, Massachusetts and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Worcester.

NPPES Registry Identity

NPI1669959227

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameTAMMER MASOUDCredential: MD

Location Address279 LINCOLN STWorcester, MA 01605

Mailing Address279 Lincoln StWorcester, MA 01605-2120 · (508) 334-8830 · Fax (508) 334-8810

Phone(508) 334-8830

Fax(508) 334-8810

Sole ProprietorNo

Enumeration DateJuly 25, 2018

Last NPPES UpdateAugust 13, 20182 updates tracked since enumeration

✔ NPI 1669959227 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.

279 LINCOLN ST, Worcester, MA 01605

Open in Google Maps ↗

Secondary Practice Location 1

Location 155 Lake Ave NWorcester, MA 01655-0002 · Phone (508) 334-1000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tammer Masoud Md 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.

DANIELLE NICOLE CODERRE

Student in an Organized Health Care Education/Training Program