DR. SUWARNA M TILAK MD
NPI 1174546584
Pediatrics in Jacksonville, FL

Q: What is Suwarna Tilak's NPI number?

The NPI number for Suwarna Tilak is 1174546584. It was assigned to this individual provider in the NPPES registry on July 26, 2006. The provider is also known as Dr. Sue M Tilak MD.

Q: What is Suwarna Tilak's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Suwarna Tilak was last updated on July 23, 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 July 26, 2006PECOS Enrolled

10175 FORTUNE PKWY, SUITE 401, JACKSONVILLE, FL 32256(904) 519-0008(904) 519-0007 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Suwarna M Tilak Md NPPES

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

DR. SUWARNA M TILAK MD (NPI 1174546584) is an individual pediatrics provider in Jacksonville, Florida, licensed in Florida (ME71441) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1174546584

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. SUWARNA M TILAKCredential: MD

Location Address10175 FORTUNE PKWY, SUITE 401Jacksonville, FL 32256-6746

Mailing Address430 College Dr, Suite 100-102Middleburg, FL 32068-8530 · (904) 298-1994 · Fax (904) 298-1973

Phone(904) 519-0008

Fax(904) 519-0007

Sole ProprietorNo

Enumeration DateJuly 26, 2006

Last NPPES UpdateJuly 23, 2026

NPPES CertifiedJuly 23, 2026

✔ NPI 1174546584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in FL · ME71441

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

10175 FORTUNE PKWY, Jacksonville, FL 32256

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Other Names 1

Professional Name (2)Dr. Sue M Tilak Md

Secondary Practice Location 1

Location 11714 N Main StJacksonville, FL 32206-4404 · Phone (904) 354-6868 · Fax (904) 358-3067

Other Identifiers 5

Other2941247FL · Aetna

Medicaid250510000FL

Other05527FL · Humana

Other211581FL · Avmed

Other32326FL · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Suwarna M Tilak 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 Suwarna Tilak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Florida Jacksonville Physicians Inc

13 mi

Neurological Surgery

580 W 8TH ST, UFJP NEUROSURGERY
Jacksonville, FL 32209

Reassigned Medicare billing, Florida enrollment
1,456 clinicians in this Medicare group

NPI 1225298599 (904) 244-3660

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 32256 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

ASHLEY JENKINS MSW, RCSWI, CPT

Technician, Pathology (Phlebotomy)

10175 FORTUNE PKWY, STE 1003 PMB-1008
JACKSONVILLE, FL 32256

Duval County (850) 556-5646

XIAOLU LUO A. P., D.O.M

Acupuncturist

10175 FORTUNE PKWY, UNIT 304
JACKSONVILLE, FL 32256

Duval County (904) 880-1889

LODS VOLCY QASP

Behavior Analyst