MELISSA YUWONO TJOTA MD, PHD
NPI 1033647615
Pathology - Anatomic Pathology & Clinical Pathology in Chicago, IL

Active since May 26, 2017PECOS EnrolledAccepts Medicare Assignment
97.71/100
CMS Quality Rating
5841 S MARYLAND AVE # MC1052, CHICAGO, IL 60637(773) 834-7708(773) 702-1119 Get Directions Write a Review

NPPES record last updated: May 26, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Melissa Yuwono Tjota Md, Phd NPPES

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

MELISSA YUWONO TJOTA MD, PHD (NPI 1033647615) is an individual anatomic pathology & clinical pathology provider in Chicago, Illinois, licensed in Illinois (125070624) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with The University Of Chicago Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1033647615
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameMELISSA YUWONO TJOTACredential: MD, PHD
Location Address5841 S MARYLAND AVE # MC1052Chicago, IL 60637-1447
Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686
Fax(773) 702-1119
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 26, 2017
NPI 1033647615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in IL · 125070624
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
5841 S MARYLAND AVE # MC1052, Chicago, IL 60637

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Melissa Yuwono Tjota Md, Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567731334
PECOS Enrollment IDI20220804000191
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Molecular pathology procedure; physician interpretation and report G0452
A molecular pathology procedure involves analyzing your body's cells at a molecular level to identify any abnormalities. This can help detect diseases early. A physician will interpret the results and provide a detailed report, explaining the findings clearly.
457 services333 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The University Of Chicago Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140088
Location5841 South MarylandChicago, IL 60637 · Cook County
Emergency services Birthing friendly

Ingalls Memorial Hospital

Acute Care Hospitals · Harvey, IL
2/5 CMS rating
OwnershipPhysician
CMS Certification Number140191
Location1 Ingalls DriveHarvey, IL 60426 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60637 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.43
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Psychiatry & Neurology (Child & Adolescent Psychiatry)
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Pediatrics
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Counselor (Mental Health)
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Emergency Medicine
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Student in an Organized Health Care Education/Training Program
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Internal Medicine
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Neurological Surgery
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637

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 Melissa Tjota's NPI number?

The NPI number for Melissa Tjota is 1033647615. It was assigned to this individual provider in the NPPES registry on May 26, 2017.

Where is Melissa Tjota located?

Melissa Tjota practices at 5841 S Maryland Ave # Mc1052, Chicago, IL 60637. The listed phone number is (773) 834-7708.

What is Melissa Tjota's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Melissa Tjota enrolled in Medicare?

Yes. Melissa Tjota is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Melissa Tjota affiliated with any hospitals?

According to CMS data, Melissa Tjota is affiliated with The University Of Chicago Medical Center and Ingalls Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Melissa Tjota was last updated on May 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.