Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Tina Boortalary, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1912563834

Dr. Tina Boortalary, MD is an Internal Medicine in Philadelphia, Pennsylvania. Graduated from George Washington University School of Medicine in 2019, 7 years ago. Practices with Jefferson University Physicians, a 1,554-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
7
Trained at
George Washington University School of Medicine
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Philadelphia, PA

Additional practice locations (1)

  • 111 S 11th St, Philadelphia, PA 19107-4824 — (215) 955-6610

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1912563834
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 16, 2019
Last updated in NPPESMay 16, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Jefferson University Physicians — 1554 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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