Doctor profile · Federal record
Dr. Tina Boortalary, MD
Student in an Organized Health Care Education/Training Program (CMS: Internal Medicine) · Philadelphia, PA
- NPI 1912563834
- Accepts Medicare
- 7 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
833 Chestnut St Ste 220
Philadelphia, PA 191074405
(215) 955-8465 - Additional location
-
111 S 11Th St
Philadelphia, PA 191074824
(215) 955-6610
Credentials & registration
- NPI registered
- May 2019 — 7 yrs on file
- Year of graduation
- 2019 — 7 yrs since
- Specialty taxonomy
- 390200000X — NUCC code
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1912563834. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$498
Transactions
6
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | 3 | $166.82 | |
| ABBVIE INC. | 1 | $121.44 | |
| Gilead Sciences, Inc. | 1 | $110.88 | |
| Lilly USA, LLC | 1 | $98.82 |
By nature of payment
Frequently asked questions
What is Dr. Tina Boortalary's medical specialty?
Dr. Tina Boortalary practices Student in an Organized Health Care Education/Training Program in Philadelphia, PA.
Where does Dr. Tina Boortalary practice?
Dr. Tina Boortalary practices at 833 Chestnut St Ste 220, Philadelphia, PA 191074405. Office phone: 2159558465.
What is Dr. Tina Boortalary's NPI?
Dr. Tina Boortalary's National Provider Identifier (NPI) is 1912563834, issued by NPPES.
Does Dr. Tina Boortalary accept Medicare assignment?
Yes. Dr. Tina Boortalary accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.