NITIN PRAVEEN TALLAM MD
NPI 1689170516
Physical Medicine & Rehabilitation - Pain Medicine in Martinez, CA

Q: What is Nitin Tallam's NPI number?

The NPI number for Nitin Tallam is 1689170516. It was assigned to this individual provider in the NPPES registry on March 31, 2018.

Q: What is Nitin Tallam's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Q: When was this NPI record last updated?

The NPPES record for Nitin Tallam was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since March 31, 2018PECOS EnrolledAccepts Medicare Assignment

200 MUIR RD, PHYSICAL MEDICINE & REHABILITATION, MARTINEZ, CA 94553(925) 372-1000 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 27, 2025, Nov 10, 2024, Jan 13, 2023 and 1 more (4 updates tracked since 2018).

On this page

About Nitin Praveen Tallam Md NPPES

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

NITIN PRAVEEN TALLAM MD (NPI 1689170516) is an individual pain medicine provider in Martinez, California, licensed in California (A175972) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and is a graduate of Saint Louis University School Of Medicine (2018).

NPPES Registry Identity

NPI1689170516

Entity TypeIndividualMale

Primary Taxonomy2081P2900X

Provider Legal NameNITIN PRAVEEN TALLAMCredential: MD

Location Address200 MUIR RD, PHYSICAL MEDICINE & REHABILITATIONMartinez, CA 94553

Mailing Address200 Muir Rd, Physical Medicine & RehabilitationMartinez, CA 94553-4614 · (925) 372-1000

Phone(925) 372-1000

Sole ProprietorNo

Medical School CMSSaint Louis University School Of MedicineGraduated 2018

Enumeration DateMarch 31, 2018

Last NPPES UpdateJune 27, 20254 updates tracked since enumeration

NPPES CertifiedJune 27, 2025

✔ NPI 1689170516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081P2900X

License✔ Licensed in CA · A175972

Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

200 MUIR RD, Martinez, CA 94553

Open in Google Maps ↗

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

Nitin Praveen Tallam 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 ID4385054824

PECOS Enrollment IDI20221223000200

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.

TIFFANY HO PHARMD

Pharmacist

200 MUIR RD
MARTINEZ, CA 94553

Contra Costa County (408) 598-0507

JOANNE AMALA SUPERSAD MD

Pediatrics (Adolescent Medicine)

200 MUIR RD
MARTINEZ, CA 94553

Contra Costa County (925) 372-1000

CLARISSE ANNE R. WONG MD

Family Medicine

200 MUIR RD
MARTINEZ, CA 94553

Contra Costa County (925) 372-1999

MISS UYEN DO

Pharmacist

200 MUIR RD
MARTINEZ, CA 94553

Contra Costa County (925) 313-4544

JULIA ANN GEARHART MS, CCC-SLP

Speech-Language Pathologist

200 MUIR RD, HOME HEALTH OFFICES
MARTINEZ, CA 94553

Contra Costa County (925) 595-3684

YOLANDA TRUE RPH

Pharmacist

200 MUIR RD
MARTINEZ, CA 94553

Contra Costa County (925) 313-4051

ANNE RUSSELL PT

Physical Therapist

200 MUIR RD, KAISER HOME HEALTH AGENCY
MARTINEZ, CA 94553

Contra Costa County (925) 313-4668

DIANE MILWARD R.D., C.D.E

Dietitian, Registered

200 MUIR RD
MARTINEZ, CA 94553

Contra Costa County (925) 313-4743

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 Nitin Tallam's NPI number?

The NPI number for Nitin Tallam is 1689170516. It was assigned to this individual provider in the NPPES registry on March 31, 2018.

Where is Nitin Tallam located?

Nitin Tallam practices at 200 Muir Rd Physical Medicine & Rehabilitation, Martinez, CA 94553. The listed phone number is (925) 372-1000.

What is Nitin Tallam's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Nitin Tallam enrolled in Medicare?

Yes. Nitin Tallam 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 Nitin Tallam was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.