DR. NEELAM THACKER M.D.
NPI 1790832822
Obstetrics & Gynecology in Medford, MA

Q: What is Neelam Thacker's NPI number?

The NPI number for Neelam Thacker is 1790832822. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Q: What is Neelam Thacker's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Neelam Thacker was last updated on January 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 January 04, 2007PECOS EnrolledAccepts Medicare AssignmentCLIA 22D2006628 · Waiver

101 MAIN ST STE 210, MEDFORD, MA 02155(781) 396-8100(781) 391-9929 Get Directions Write a Review

NPPES record last updated: January 3, 2021. Verified against the NPPES registry weekly; last sync: September 27, 2026.

On this page

About Dr. Neelam Thacker M.d. NPPES

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

DR. NEELAM THACKER M.D. (NPI 1790832822) is an individual obstetrics & gynecology provider in Medford, Massachusetts, licensed in Massachusetts (238151) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through April 26, 2028, and is a graduate of Boston University School Of Medicine (2004).

NPPES Registry Identity

NPI1790832822

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. NEELAM THACKERCredential: M.D.

Location Address101 MAIN ST STE 210Medford, MA 02155-4530

Mailing Address101 Main Street, Suite 210Medford, MA 02155-4530 · (781) 396-8100 · Fax (781) 391-9929

Phone(781) 396-8100

Fax(781) 391-9929

Sole ProprietorYes

Medical School CMSBoston University School Of MedicineGraduated 2004

Enumeration DateJanuary 4, 2007

Last NPPES UpdateJanuary 3, 2021

NPPES CertifiedJanuary 3, 2021

✔ NPI 1790832822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in MA · 238151

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

101 MAIN ST STE 210, Medford, MA 02155

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Dr. Neelam Thacker M.d. 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 ID7416141668

PECOS Enrollment IDI20101101001269

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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D2006628

Neelam M Thacker MD · Medford, MA

Active · expires Apr 26, 2028

CLIA Number22D2006628

Laboratory TypePhysician Office

Certificate Effective DateApril 27, 2026

Certificate Expiration DateApril 26, 2028

Laboratory DirectorNeelam M. Thacker

Laboratory Phone(781) 396-8100

Laboratory LocationNeelam M Thacker MD101 Main Street Suite 210, Medford, MA 02155

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02155 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$144.11 typical visit price

range $63.72 – $189.86

Typical copayment $36.02 (range $15.93 – $47.46)

Most-billed visit code 99204

Established Patient

$78.84 typical visit price

range $21.07 – $155.29

Typical copayment $19.71 (range $5.26 – $38.82)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Neelam Thacker's NPI number?

The NPI number for Neelam Thacker is 1790832822. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is Neelam Thacker located?

Neelam Thacker practices at 101 Main St Ste 210, Medford, MA 02155. The listed phone number is (781) 396-8100.

What is Neelam Thacker's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Neelam Thacker enrolled in Medicare?

Yes. Neelam Thacker 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.

Does Neelam Thacker hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2006628) is associated with this NPI, valid through April 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Neelam Thacker accept?

Health plans from Anthem Blue Cross and Blue Shield list Neelam Thacker 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 Neelam Thacker was last updated on January 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.