NITIN PRAVEEN TALLAM MD
NPI 1689170516
Physical Medicine & Rehabilitation - Pain Medicine in Martinez, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Nitin Tallam reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Vallejo, CA 94589
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Los Angeles, CA 90033
- Reassigned Medicare billing, California enrollment
- 2,445 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
MARTINEZ, CA 94553
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.
Which organizations bill Medicare for Nitin Tallam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nitin Tallam reassigns Medicare benefits to 2 organizations: Permanente Medical Group Inc (Vallejo, CA) and Usc Care Medical Group, Inc (Los Angeles, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nitin Tallam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 15 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.
# Nitin Praveen Tallam, MD · NPI 1689170516
Pain Medicine physician in Martinez, California. Individual provider, active in the CMS NPPES registry since March 31, 2018.
## Identity
- **NPI:** 1689170516 (Entity type: Individual)
- **Enumerated:** March 31, 2018
- **Primary specialty:** Physical Medicine & Rehabilitation - Pain Medicine · taxonomy 2081P2900X
- **State license:** A175972 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 MUIR RD, PHYSICAL MEDICINE & REHABILITATION, Martinez, CA 94553
- **Phone:** (925) 372-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Permanente Medical Group Inc (NPI 1336222397, Vallejo, CA); Usc Care Medical Group, Inc (NPI 1902846306, Los Angeles, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Saint Louis University School Of Medicine, class of 2018
## Record status
- **NPPES last updated:** June 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1689170516) · Data from the CMS NPPES public registry.