DJERRICK CU TAN M.D.
NPI 1124002654
Radiology - Diagnostic Radiology in Mequon, WI
About Djerrick Cu Tan M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DJERRICK CU TAN M.D. (NPI 1124002654) is an individual diagnostic radiology provider in Mequon, Wisconsin, licensed in Wisconsin (47802) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Secondary Practice Locations 2
Accepted Insurance
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
Djerrick Cu Tan M.d. 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.
Areas of Expertise CMS Part B claims 47
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension Columbia St Mary's Hospital Milwaukee
Acute Care Hospitals · Milwaukee, WIAscension St Francis Hospital
Acute Care Hospitals · Milwaukee, WIAscension All Saints Hospital
Acute Care Hospitals · Racine, WIAscension SE Wisconsin Hospital
Acute Care Hospitals · Milwaukee, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53092 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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.
MEQUON, WI 53092
MEQUON, WI 53092
MEQUON, WI 53092
MEQUON, WI 53092
MEQUON, WI 53092
MEQUON, WI 53092
MEQUON, WI 53092
MEQUON, WI 53092
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 Djerrick Tan's NPI number?
The NPI number for Djerrick Tan is 1124002654. It was assigned to this individual provider in the NPPES registry on November 29, 2005.
Where is Djerrick Tan located?
Djerrick Tan practices at 10945 N Port Washington Rd Ste 201, Mequon, WI 53092. The listed phone number is (262) 292-3151.
What is Djerrick Tan's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Djerrick Tan enrolled in Medicare?
Yes. Djerrick Tan 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.
What insurance does Djerrick Tan accept?
Health plans from CareSource (Common Ground Healthcare), Oscar Insurance Company and WellSense Health Plan list Djerrick Tan 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.
Is Djerrick Tan affiliated with any hospitals?
According to CMS data, Djerrick Tan is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, Ascension St Francis Hospital, Ascension All Saints Hospital and Ascension SE Wisconsin Hospital.
When was this NPI record last updated?
The NPPES record for Djerrick Tan was last updated on February 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.