DR. GUILLERMO JAVIER TANAKA M. D.
NPI 1124033055
Radiology - Diagnostic Radiology in Jackson, MS

Active since July 29, 2006PECOS EnrolledAccepts Medicare Assignment
86.49/100
CMS Quality Rating
969 LAKELAND DR, JACKSON, MS 39216(877) 406-2916(601) 682-7909 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 8, 2023, Feb 10, 2017 (2 updates tracked since 2017).

About Dr. Guillermo Javier Tanaka M. D. NPPES

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

DR. GUILLERMO JAVIER TANAKA M. D. (NPI 1124033055) is an individual diagnostic radiology provider in Jackson, Mississippi, licensed in Mississippi (16799) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Ochsner Lafayette General Medical Center, and is a graduate of Tulane University School Of Medicine (1995).

NPPES Registry Identity

NPI1124033055
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. GUILLERMO JAVIER TANAKACredential: M. D.
Location Address969 LAKELAND DRJackson, MS 39216-4606
Mailing AddressPo Box 55769Jackson, MS 39296-5769 · (601) 200-6162
Fax(601) 682-7909
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1995
Enumeration DateJuly 29, 2006
Last NPPES UpdateNovember 8, 20232 updates tracked since enumeration
NPPES CertifiedNovember 8, 2023
NPI 1124033055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in MS · 16799 Licensed in LA · 022779
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

969 LAKELAND DR, Jackson, MS 39216

Other Identifiers 3

Other1861428351Group Medicare Npi
OtherC00475Group Medicare Upin
Medicaid00122175MS

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

Dr. Guillermo Javier Tanaka 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.

PECOS PAC ID749280782
PECOS Enrollment IDI20240130002025
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 49

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
704 services615 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
291 services282 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
166 services164 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
149 services142 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
117 services115 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
86 services86 patients

Hospital Affiliations CMS Care Compare 5

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

Ochsner Lafayette General Medical Center

Acute Care Hospitals · Lafayette, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190002
Location1214 Coolidge AvenueLafayette, LA 70503 · Lafayette County
Emergency services Birthing friendly

Acadia General Hospital

Acute Care Hospitals · Crowley, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190044
Location1305 Crowley Rayne HighwayCrowley, LA 70526 · Acadia County
Emergency services

St Tammany Parish Hospital

Acute Care Hospitals · Covington, LA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190045
Location1202 S Tyler StreetCovington, LA 70433 · St. Tammany County
Emergency services Birthing friendly

Touro Infirmary

Acute Care Hospitals · New Orleans, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190046
Location1401 Foucher StreetNew Orleans, LA 70115 · Orleans County
Emergency services Birthing friendly

Ochsner American Legion Hospital

Acute Care Hospitals · Jennings, LA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190053
Location1634 Elton RoadJennings, LA 70546 · Jeffrson Davis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
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.

86.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost51.89

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.

Internal Medicine
969 LAKELAND DR
JACKSON, MS 39216
Pharmacy (Institutional Pharmacy)
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner
969 LAKELAND DR
JACKSON, MS 39216
Nurse Anesthetist, Certified Registered
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Emergency Medicine
969 LAKELAND DR
JACKSON, MS 39216

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 Guillermo Tanaka's NPI number?

The NPI number for Guillermo Tanaka is 1124033055. It was assigned to this individual provider in the NPPES registry on July 29, 2006.

Where is Guillermo Tanaka located?

Guillermo Tanaka practices at 969 Lakeland Dr, Jackson, MS 39216. The listed phone number is (877) 406-2916.

What is Guillermo Tanaka's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Guillermo Tanaka enrolled in Medicare?

Yes. Guillermo Tanaka 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 Guillermo Tanaka accept?

Health plans from HMO Louisiana and UnitedHealthcare list Guillermo Tanaka 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 Guillermo Tanaka affiliated with any hospitals?

According to CMS data, Guillermo Tanaka is affiliated with Ochsner Lafayette General Medical Center, Acadia General Hospital, St Tammany Parish Hospital, Touro Infirmary and Ochsner American Legion Hospital.

When was this NPI record last updated?

The NPPES record for Guillermo Tanaka was last updated on November 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.