DR. TJISKA ELAINE CONROTTO DDS
NPI 1134754187
Dentist - Oral and Maxillofacial Surgery in Phoenix, AZ

Active since March 10, 2020PECOS EnrolledAccepts Medicare Assignment
1441 N 12TH ST FL 3, PHOENIX, AZ 85006(602) 521-5150 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 5, 2025, Aug 29, 2022, Mar 10, 2020 (3 updates tracked since 2020).

About Dr. Tjiska Elaine Conrotto Dds NPPES

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

DR. TJISKA ELAINE CONROTTO DDS (NPI 1134754187) is an individual oral and maxillofacial surgery provider in Phoenix, Arizona, licensed in Arizona (D012292) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1134754187
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameDR. TJISKA ELAINE CONROTTOCredential: DDS
Location Address1441 N 12TH ST FL 3Phoenix, AZ 85006-2837
Mailing Address1441 N 12th St Fl 3Phoenix, AZ 85006-2837 · (602) 521-5150
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 10, 2020
Last NPPES UpdateOctober 2, 20253 updates tracked since enumeration
NPPES CertifiedOctober 2, 2025
✔ NPI 1134754187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in AZ · D012292
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1441 N 12TH ST FL 3, Phoenix, AZ 85006

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. Tjiska Elaine Conrotto Dds 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 ID5799154498
PECOS Enrollment IDI20250822003824
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 85006 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

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.

Nurse Practitioner (Family)
1441 N 12TH ST FL 3
PHOENIX, AZ 85006
Student in an Organized Health Care Education/Training Program
1441 N 12TH ST FL 3
PHOENIX, AZ 85006
Student in an Organized Health Care Education/Training Program
1441 N 12TH ST FL 3
PHOENIX, AZ 85006
Student in an Organized Health Care Education/Training Program
1441 N 12TH ST FL 3
PHOENIX, AZ 85006
Student in an Organized Health Care Education/Training Program
1441 N 12TH ST FL 3
PHOENIX, AZ 85006
Colon & Rectal Surgery
1441 N 12TH ST FL 3
PHOENIX, AZ 85006
Physician Assistant (Medical)
1441 N 12TH ST FL 3
PHOENIX, AZ 85006
Student in an Organized Health Care Education/Training Program
1441 N 12TH ST FL 3
PHOENIX, AZ 85006

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 Tjiska Conrotto's NPI number?

The NPI number for Tjiska Conrotto is 1134754187. It was assigned to this individual provider in the NPPES registry on March 10, 2020.

Where is Tjiska Conrotto located?

Tjiska Conrotto practices at 1441 N 12th St Fl 3, Phoenix, AZ 85006. The listed phone number is (602) 521-5150.

What is Tjiska Conrotto's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Tjiska Conrotto enrolled in Medicare?

Yes. Tjiska Conrotto 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 Tjiska Conrotto accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Tjiska Conrotto 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 Tjiska Conrotto was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.