1. Home
  2. Directory
  3. Connecticut
  4. Wethersfield
  5. Internal Medicine
  6. NPI Profile

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: August 09, 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
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

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.

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.

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 6 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.