ALEXIS REBECCA TAM (PA) – Physician Assistant, NPI 1316630452

ALEXIS REBECCA TAM (PA) is a healthcare provider. based in Marstons mills, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA100659 (MA). The NPI Number for ALEXIS REBECCA TAM (PA) is 1316630452

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
ALEXIS REBECCA TAM (PA)
NPI
1316630452
Phone
(508) 492-3200
Address
3880 FALMOUTH RD
Enumeration Date
2 June 2023
Last Update Date
30 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5084923200
Graduation Year
2023 (3 years ago)
PAC ID
1153855671
Group Practice PAC ID
8628475647
Professional Enrollment ID
I20241106003016
Address ID
MA026481855MA3880XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

5,093 PHYSICIAN ASSISTANT in MA

Provider Addresses for ALEXIS REBECCA TAM (PA)

  • 3880 FALMOUTH RD

    MARSTONS MILLS, MA 026481855

    Phone: (508) 492-3200

    Fax: (508) 492-3232

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $72.

Total Amount is formed as General ($72) + Research ($0) + Ownership ($0) = $72.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($30).

Total Amount

$72

General + Research + Ownership

Payments

4

Total payment records

General Amount

$72

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241106003016IPhysician AssistantMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02648)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628475647View full group profile
NameSpecialtyState
D E R M A T O L O G YNJ
Physician AssistantRI
D E R M A T O L O G YMA
Micrographic Dermatologic Surgery (Mds), Dermatology, DermatologyMA
D E R M A T O L O G YMA
D E R M A T O L O G YMA
Physician AssistantMD
Physician AssistantMA

Reviews

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Frequently asked questions

How do I look up ALEXIS REBECCA TAM (PA) by NPI?
Use NPI 1316630452 when you need to reference ALEXIS REBECCA TAM (PA) in forms, claims, or directories.
Is ALEXIS REBECCA TAM (PA) active in the national directory?
ALEXIS REBECCA TAM (PA)'s public NPI profile is in an active state.
What kind of provider is ALEXIS REBECCA TAM (PA)?
The page reflects Physician Assistant for ALEXIS REBECCA TAM (PA). Clinical services aligned with this taxonomy classification.
Does ALEXIS REBECCA TAM (PA) practice in Massachusetts?
You will see Marstons Mills, Massachusetts on file for ALEXIS REBECCA TAM (PA) alongside any extra practice locations.
Is ALEXIS REBECCA TAM (PA) a real provider?
This page reflects official NPPES data for NPI 1316630452. Always confirm identity and privileges with the practice and licensing boards.

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