ALIREZA TAJICK (MD) – Internal Medicine Physician, NPI 1972563518

ALIREZA TAJICK (MD) is a healthcare provider. based in Woburn, Massachusetts. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 25MA079145 (NJ). The NPI Number for ALIREZA TAJICK (MD) is 1972563518

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
ALIREZA TAJICK (MD)
NPI
1972563518
Phone
(781) 937-4522
Address
12 GILL ST
Enumeration Date
27 March 2006
Last Update Date
30 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2024196200
Graduation Year
2002 (24 years ago)
PAC ID
9436177037
Group Practice PAC ID
3779495858
Professional Enrollment ID
I20120118000617
Address ID
DC200371427WA2301XNWXX400

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

4,930 INTERNAL MEDICINE in VA

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Provider Addresses for ALIREZA TAJICK (MD)

  • 12, Gill Street, Mishawum, Woburn, Middlesex County, Massachusetts, 01801, United States

    WOBURN, MA 018011728

    Phone: (781) 937-4522

    Fax: (781) 937-4510

    Type: Mailing

  • Fauquier Hospital, 500, Hospital Drive, Warrenton, Fauquier County, Virginia, 20186, United States

    WARRENTON, VA 201863027

    Phone: (540) 349-6575

    Fax: (781) 937-4510

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2012-01-18

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
I20120118000617IInternal MedicineDCTBD

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 01801)

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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: 3779495858View full group profile

Reviews

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Frequently asked questions

Where can patients find ALIREZA TAJICK (MD)'s NPI?
You can confirm ALIREZA TAJICK (MD) with NPI 1972563518; it appears in the national provider directory.
Is ALIREZA TAJICK (MD) currently active in the NPI registry?
CMS-published data lists ALIREZA TAJICK (MD) as an active registrant.
Does ALIREZA TAJICK (MD) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for ALIREZA TAJICK (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for ALIREZA TAJICK (MD)?
The page summarizes Woburn, Massachusetts for ALIREZA TAJICK (MD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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