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TANYA M. HELM DO
NPI 1205233533
Internal Medicine in Brooklyn, NY

Active since December 02, 2014PECOS EnrolledAccepts Medicare Assignment
813 DEKALB AVE, APT 2R, BROOKLYN, NY 11221(503) 998-3183 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 29, 2024, Nov 10, 2015 (2 updates tracked since 2015).

About Tanya M. Helm Do NPPES

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

TANYA M. HELM DO (NPI 1205233533) is an individual internal medicine provider in Brooklyn, New York, licensed in Washington (OP61061532) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS, is affiliated with Legacy Salmon Creek Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1205233533
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameTANYA M. HELMCredential: DO
Location Address813 DEKALB AVE, APT 2RBrooklyn, NY 11221-1519
Mailing Address813 Dekalb Ave, Apt 2rBrooklyn, NY 11221-1519
Phone(503) 998-3183
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateDecember 2, 2014
Last NPPES UpdateApril 29, 20242 updates tracked since enumeration
NPPES CertifiedApril 29, 2024
✔ NPI 1205233533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in WA · OP61061532✔ Licensed in NM · A-2049-17
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
813 DEKALB AVE, Brooklyn, NY 11221
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tanya M. Helm Do 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 ID3476824640
PECOS Enrollment IDI20200622002816
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 Tanya Helm reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Legacy Salmon Creek Hospital
2,445 mi
Clinic/Center
2211 NE 139TH ST
Vancouver, WA 98686
  • Reassigned Medicare billing, Washington enrollment
  • 754 clinicians in this Medicare group
NPI 1356357784 (360) 487-2878

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
82 services82 patients

Hospital Affiliations CMS Care Compare

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

Legacy Salmon Creek Medical Center

Acute Care Hospitals · Vancouver, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500150
Location2211 NE 139th StreetVancouver, WA 98686 · Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11221 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%20 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, heavy duty, wheeled, rigid or folding, any type E0149
DME-Other DME · category DE000N
1 supplier11 claims11 services$8.61 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier11 claims11 services$48.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Tanya Helm's NPI number?

The NPI number for Tanya Helm is 1205233533. It was assigned to this individual provider in the NPPES registry on December 2, 2014.

Where is Tanya Helm located?

Tanya Helm practices at 813 Dekalb Ave Apt 2R, Brooklyn, NY 11221. The listed phone number is (503) 998-3183.

What is Tanya Helm's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Tanya Helm enrolled in Medicare?

Yes. Tanya Helm 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.

Which organization bills Medicare for Tanya Helm's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tanya Helm reassigns Medicare benefits to Legacy Salmon Creek Hospital (Vancouver, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tanya Helm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tanya Helm accept?

Health plans from Moda Health Plan, Inc. list Tanya Helm 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 Tanya Helm affiliated with any hospitals?

According to CMS data, Tanya Helm is affiliated with Legacy Salmon Creek Medical Center.

When was this NPI record last updated?

The NPPES record for Tanya Helm was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.