TATUM TRATHEN
NPI 1144055252
Nurse Practitioner - Pediatrics in Phoenix, AZ

Q: What is Tatum Trathen's NPI number?

The NPI number for Tatum Trathen is 1144055252. It was assigned to this individual provider in the NPPES registry on September 6, 2024.

Q: What is Tatum Trathen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Tatum Trathen was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 06, 2024PECOS Enrolled

1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-1000 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Jul 14, 2026, Sep 6, 2024 (2 updates tracked since 2024).

On this page

About Tatum Trathen NPPES

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

TATUM TRATHEN (NPI 1144055252) is an individual pediatrics provider in Phoenix, Arizona, licensed in Arizona (23766231) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144055252

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameTATUM TRATHEN

Location Address1919 E THOMAS RDPhoenix, AZ 85016-7710

Mailing Address1919 E Thomas RdPhoenix, AZ 85016-7710 · (602) 933-1000

Phone(602) 933-1000

Sole ProprietorNo

Enumeration DateSeptember 6, 2024

Last NPPES UpdateJuly 14, 20262 updates tracked since enumeration

NPPES CertifiedJuly 14, 2026

✔ NPI 1144055252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in AZ · 23766231

1919 E THOMAS RD, Phoenix, AZ 85016

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)

Tatum Trathen 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 85016 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

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 20

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

DR. TIMUR RAGHIB M.D.

Hospitalist