SHANNON TAM CNM
NPI 1700893120
Midwife in Brooklyn, NY

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
502A 9TH STREET, BROOKLYN, NY 11215(718) 499-3636 Get Directions Write a Review

NPPES record last updated: December 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 9, 2022, Mar 17, 2018, Dec 11, 2017 and 1 more (4 updates tracked since 2017).

About Shannon Tam Cnm NPPES

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

SHANNON TAM CNM (NPI 1700893120) is an individual midwife in Brooklyn, New York, licensed in New York (F001141-1) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1700893120
Entity TypeIndividualFemale
Primary Taxonomy176B00000X
Provider Legal NameSHANNON TAMCredential: CNM
Location Address502A 9TH STREETBrooklyn, NY 11215
Mailing Address502a 9th StreetBrooklyn, NY 11215 · (718) 499-3636
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 1, 2006
Last NPPES UpdateDecember 9, 20224 updates tracked since enumeration
NPPES CertifiedDecember 9, 2022
NPI 1700893120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMidwifeOther Service Providers
Taxonomy Code176B00000X
Licenses Licensed in NY · F001141-1 Licensed in NY · 532753-1
Definition
A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization.
502A 9TH STREET, Brooklyn, NY 11215

Secondary Practice Location 1

Location 1110 W 97th StNew York, NY 10025-6450 · Phone (212) 316-7923 · Fax (212) 316-7945

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

Shannon Tam Cnm 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 ID2365625514
PECOS Enrollment IDI20110324000717
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.09
Promoting Interoperability100
Improvement Activities40
Cost56.12

Other Providers at the Same Location NPPES 6

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

Advanced Practice Midwife
502A 9TH STREET
BROOKLYN, NY 11215
Midwife
502A 9TH STREET
BROOKLYN, NY 11215
Midwife
502A 9TH STREET
BROOKLYN, NY 11215
Nurse Practitioner (Obstetrics & Gynecology)
502A 9TH STREET
BROOKLYN, NY 11215
Midwife
502A 9TH STREET
BROOKLYN, NY 11215
Advanced Practice Midwife
502A 9TH STREET
BROOKLYN, NY 11215

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 Shannon Tam's NPI number?

The NPI number for Shannon Tam is 1700893120. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Shannon Tam located?

Shannon Tam practices at 502A 9th Street, Brooklyn, NY 11215. The listed phone number is (718) 499-3636.

What is Shannon Tam's specialty?

The primary specialty registered for this NPI is Midwife with taxonomy code 176B00000X.

Is Shannon Tam enrolled in Medicare?

Yes. Shannon 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 Shannon Tam was last updated on December 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.