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DR. ELLEN TAMBUNAN M.D.
NPI 1235102823
Family Medicine in Niles, MI

Active since February 13, 2006PECOS Enrolled
4 LONGMEADOW VILLAGE DR, NILES, MI 49120(269) 684-6000(269) 684-1388 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ellen Tambunan M.d. NPPES

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

DR. ELLEN TAMBUNAN M.D. (NPI 1235102823) is an individual family medicine provider in Niles, Michigan, licensed in Michigan (4301062919) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235102823
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ELLEN TAMBUNANCredential: M.D.
Location Address4 LONGMEADOW VILLAGE DRNiles, MI 49120-7809
Mailing Address6416 Deans Hill RdBerrien Center, MI 49102-9750 · (269) 471-7741 · Fax (269) 471-1581
Phone(269) 684-6000
Fax(269) 684-1388
Sole ProprietorNo
Enumeration DateFebruary 13, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1235102823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301062919
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4 LONGMEADOW VILLAGE DR, Niles, MI 49120
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Other Identifiers 1

Medicaid339031110MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ellen Tambunan M.d. 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 49120 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 10

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

ROSA LEE JOHNSON D.O.
Family Medicine
4 LONGMEADOW VILLAGE DR
NILES, MI 49120
Berrien County (269) 684-6000
ALEXANDRIA CAROLINE RODEN MD
Family Medicine
4 LONGMEADOW VILLAGE DR
NILES, MI 49120
Berrien County (269) 684-6000
JOHN W. HOWARD M.D.
Family Medicine
4 LONGMEADOW VILLAGE DR
NILES, MI 49120
Berrien County (269) 684-6000
CICELY MORENO M.D.
Family Medicine (Addiction Medicine)
4 LONGMEADOW VILLAGE DR
NILES, MI 49120
Berrien County (269) 684-6000
TRACY J TACKET DO
Family Medicine
4 LONGMEADOW VILLAGE DR
NILES, MI 49120
Berrien County (269) 684-6000
LAKELAND MEDICAL PRACTICES
Clinic/Center
4 LONGMEADOW VILLAGE DR
NILES, MI 49120
Berrien County (269) 684-6000
LAKELAND FAMILY CARE OF NILES
Family Medicine
4 LONGMEADOW VILLAGE DR, SUITE 2
NILES, MI 49120
Berrien County (269) 684-6000
LAKELAND MEDICAL PRACTICES
Clinic/Center
4 LONGMEADOW VILLAGE DR
NILES, MI 49120
Berrien County (269) 684-6000

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 Ellen Tambunan's NPI number?

The NPI number for Ellen Tambunan is 1235102823. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Where is Ellen Tambunan located?

Ellen Tambunan practices at 4 Longmeadow Village Dr, Niles, MI 49120. The listed phone number is (269) 684-6000.

What is Ellen Tambunan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ellen Tambunan enrolled in Medicare?

Yes. Ellen Tambunan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ellen Tambunan was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.