DIMIRA E TAMBUNAN
NPI 1790245827
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Boston, MA
About Dimira E Tambunan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIMIRA E TAMBUNAN (NPI 1790245827) is an individual neurology with special qualifications in child neurology provider in Boston, Massachusetts, licensed in Massachusetts (1020730) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dimira E Tambunan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Dimira Tambunan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boston, MA 02115
- Reassigned Medicare billing, Massachusetts enrollment
- 153 clinicians in this Medicare group
Boston, MA 02111
- Reassigned Medicare billing, Massachusetts enrollment
- 202 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BOSTON, MA 02115
BOSTON, MA 02115
BOSTON, MA 02115
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 Dimira Tambunan's NPI number?
The NPI number for Dimira Tambunan is 1790245827. It was assigned to this individual provider in the NPPES registry on March 24, 2019.
Where is Dimira Tambunan located?
Dimira Tambunan practices at 300 Longwood Ave, Boston, MA 02115. The listed phone number is (617) 355-6000.
What is Dimira Tambunan's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.
Is Dimira Tambunan enrolled in Medicare?
Yes. Dimira Tambunan is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Dimira Tambunan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dimira Tambunan reassigns Medicare benefits to 2 organizations: C H Neurology Foundation Inc (Boston, MA) and Pratt Pediatric Associates Inc (Boston, MA). 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 Dimira Tambunan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dimira Tambunan accept?
Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Dimira Tambunan 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.
When was this NPI record last updated?
The NPPES record for Dimira Tambunan was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dimira E Tambunan · NPI 1790245827
Neurology with Special Qualifications in Child Neurology physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since March 24, 2019.
## Identity
- **NPI:** 1790245827 (Entity type: Individual)
- **Enumerated:** March 24, 2019
- **Primary specialty:** Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology · taxonomy 2084N0402X
- **State license:** 1020730 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 LONGWOOD AVE, Boston, MA 02115-5724
- **Phone:** (617) 355-6000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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): C H Neurology Foundation Inc (NPI 1063432417, Boston, MA); Pratt Pediatric Associates Inc (NPI 1477590511, Boston, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** July 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1790245827) · Data from the CMS NPPES public registry.