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DR. ELIZABETH TILLEM MD
NPI 1093860504
Emergency Medicine in Bronx, NJ

Active since January 24, 2007PECOS Enrolled
1650 GRAND CONCOURSE, DEPT OF EMERGENCY MEDICINE, BRONX, NJ 10456(718) 518-5046 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Elizabeth Tillem Md NPPES

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

DR. ELIZABETH TILLEM MD (NPI 1093860504) is an individual emergency medicine provider in Bronx, New Jersey, licensed in New York (225727) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093860504
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. ELIZABETH TILLEMCredential: MD
Location Address1650 GRAND CONCOURSE, DEPT OF EMERGENCY MEDICINEBronx, NJ 10456
Mailing Address1650 Grand Concourse, Dept Of Emergency MedicineBronx, NJ 10456 · (718) 518-5046
Phone(718) 518-5046
Sole ProprietorNo
Enumeration DateJanuary 24, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1093860504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 225727
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1650 GRAND CONCOURSE, Bronx, NJ 10456
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Elizabeth Tillem Md 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 Elizabeth Tillem reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bronxcare Health System
Same address
General Practice
1650 GRAND CONCOURSE
Bronx, NY 10457
  • Reassigned Medicare billing, New York enrollment
  • 795 clinicians in this Medicare group
NPI 1194060418 (718) 901-8918

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 10456 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Other Providers at the Same Location NPPES

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

CHRISTINE A RASMUSSEN NP
Nurse Practitioner (Family)
1650 GRAND CONCOURSE, BRONXCARE WOMENS HEALTH CLINIC 14TH FLOOR
BRONX, NY 10456
Bronx County (718) 518-5000

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 Elizabeth Tillem's NPI number?

The NPI number for Elizabeth Tillem is 1093860504. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Elizabeth Tillem located?

Elizabeth Tillem practices at 1650 Grand Concourse Dept Of Emergency Medicine, Bronx, NJ 10456. The listed phone number is (718) 518-5046.

What is Elizabeth Tillem's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Elizabeth Tillem enrolled in Medicare?

Yes. Elizabeth Tillem is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elizabeth Tillem's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Tillem reassigns Medicare benefits to Bronxcare Health System (Bronx, NY). 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 Elizabeth Tillem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elizabeth Tillem was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.