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DR. TAMIKA BLACKBURN M.D.
NPI 1053593079
Internal Medicine in Wethersfield, CT

Active since November 30, 2007PECOS Enrolled
1260 SILAS DEANE HWY STE 103, WETHERSFIELD, CT 06109(860) 563-9518(860) 257-0088 Get Directions Write a Review

NPPES record last updated: October 14, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Tamika Blackburn M.d. NPPES

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

DR. TAMIKA BLACKBURN M.D. (NPI 1053593079) is an individual internal medicine provider in Wethersfield, Connecticut, licensed in Connecticut (53376) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053593079
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. TAMIKA BLACKBURNCredential: M.D.
Location Address1260 SILAS DEANE HWY STE 103Wethersfield, CT 06109-4363
Mailing Address1260 Silas Deane Hwy Ste 103Wethersfield, CT 06109-4363 · (860) 563-9518 · Fax (860) 257-0088
Phone(860) 563-9518
Fax(860) 257-0088
Sole ProprietorNo
Enumeration DateNovember 30, 2007
Last NPPES UpdateOctober 14, 2019
✔ NPI 1053593079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in CT · 53376✔ Licensed in NY · 247841
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1260 SILAS DEANE HWY STE 103, Wethersfield, CT 06109
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tamika Blackburn M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Tamika Blackburn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prohealth Physicians PC
8.1 mi
Family Medicine
3 FARM GLEN BLVD, PROHEALTH PHYSICIANS
Farmington, CT 06032
  • Reassigned Medicare billing, Connecticut enrollment
  • 496 clinicians in this Medicare group
NPI 1720194053 (860) 284-5200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06109 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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 Tamika Blackburn's NPI number?

The NPI number for Tamika Blackburn is 1053593079. It was assigned to this individual provider in the NPPES registry on November 30, 2007.

Where is Tamika Blackburn located?

Tamika Blackburn practices at 1260 Silas Deane Hwy Ste 103, Wethersfield, CT 06109. The listed phone number is (860) 563-9518.

What is Tamika Blackburn's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Tamika Blackburn enrolled in Medicare?

Yes. Tamika Blackburn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tamika Blackburn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tamika Blackburn reassigns Medicare benefits to Prohealth Physicians PC (Farmington, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tamika Blackburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tamika Blackburn accept?

Health plans from Anthem Blue Cross and Blue Shield list Tamika Blackburn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tamika Blackburn was last updated on October 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.