SILVER BIRCH MD LLC
NPI 1861208217
Family Medicine in Enfield, CT

Q: What is Silver Birch MD LLC's NPI number?

The NPI number for Silver Birch MD LLC is 1861208217. It was assigned to this organization in the NPPES registry on December 9, 2024.

Q: What is Silver Birch MD LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since December 09, 2024CLIA 07D2315865 · Waiver

15 PALOMBA DR, ENFIELD, CT 06082(860) 951-2198 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Silver Birch Md Llc NPPES

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

SILVER BIRCH MD LLC (NPI 1861208217) is a healthcare organization registered as a family medicine in Enfield, Connecticut and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through December 19, 2026 and lists Ian Sterling Tucker, Owner/physician Owner, as its authorized official.

NPPES Registry Identity

NPI1861208217

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSILVER BIRCH MD LLC

Location Address15 PALOMBA DREnfield, CT 06082-3888

Mailing Address71 W Stafford Rd Ste 4aStafford Springs, CT 06076-1069

Phone(860) 951-2198

Organization SubpartNo

Authorized OfficialIan Sterling TuckerOwner/physician Owner · (860) 951-2198

Enumeration DateDecember 9, 2024

NPPES CertifiedDecember 9, 2024

✔ NPI 1861208217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

15 PALOMBA DR, Enfield, CT 06082

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Silver Birch Md Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Silver Birch MD LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ian Tucker, MD

Family Practice

NPI 1538130836

15 PALOMBA DR
Enfield, CT 06082

(860) 951-2198

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 07D2315865

Silver Birch MD LLC · Enfield, CT

Active · expires Dec 19, 2026

CLIA Number07D2315865

Laboratory TypePhysician Office

Certificate Effective DateDecember 20, 2024

Certificate Expiration DateDecember 19, 2026

Laboratory DirectorIan S. Tucker

Laboratory Phone(860) 745-0030

Laboratory LocationSilver Birch MD LLC15 Palomba Drive Suite 5, Enfield, CT 06082

CLIA data matches this NPI record on: Address Name

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

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 Silver Birch MD LLC's NPI number?

The NPI number for Silver Birch MD LLC is 1861208217. It was assigned to this organization in the NPPES registry on December 9, 2024.

Where is Silver Birch MD LLC located?

Silver Birch MD LLC is located at 15 Palomba Dr, Enfield, CT 06082. The listed phone number is (860) 951-2198.

What is Silver Birch MD LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Silver Birch MD LLC enrolled in Medicare?

Yes. Silver Birch MD LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Silver Birch MD LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Silver Birch MD LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Silver Birch MD LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2315865) is associated with this NPI, valid through December 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Silver Birch MD LLC was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.