DR. MIA SONIA SCHULTZ TANAKA DO
NPI 1215249164
Emergency Medicine in Peoria, IL
About Dr. Mia Sonia Schultz Tanaka Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MIA SONIA SCHULTZ TANAKA DO (NPI 1215249164) is an individual emergency medicine provider in Peoria, Illinois, licensed in Illinois (125.058312) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Kaiser Foundation Hospital, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2010).
NPPES Registry Identity
Specialties & Licenses
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. Mia Sonia Schultz Tanaka 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kaiser Foundation Hospital
Acute Care Hospitals · Honolulu, HIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61637 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PEORIA, IL 61637
PEORIA, IL 61637
PEORIA, IL 61637
PEORIA, IL 61637
PEORIA, IL 61637
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 Mia Tanaka's NPI number?
The NPI number for Mia Tanaka is 1215249164. It was assigned to this individual provider in the NPPES registry on July 8, 2010.
Where is Mia Tanaka located?
Mia Tanaka practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 655-2321.
What is Mia Tanaka's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Mia Tanaka enrolled in Medicare?
Yes. Mia 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.
Is Mia Tanaka affiliated with any hospitals?
According to CMS data, Mia Tanaka is affiliated with Kaiser Foundation Hospital.
When was this NPI record last updated?
The NPPES record for Mia Tanaka was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Mia Sonia Schultz Tanaka, DO · NPI 1215249164
Emergency Medicine physician in Peoria, Illinois. Individual provider, active in the CMS NPPES registry since July 8, 2010.
## Identity
- **NPI:** 1215249164 (Entity type: Individual)
- **Enumerated:** July 8, 2010
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 125.058312 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 530 NE GLEN OAK AVE, Peoria, IL 61637-0001
- **Phone:** (309) 655-2321
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Des Moines University Of Osteopathic Medicine And Health Sciences, class of 2010
## Record status
- **NPPES last updated:** February 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1215249164) · Data from the CMS NPPES public registry.