TIFFANY ESTELLE MAKSIMUK MD
NPI 1255266276
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since June 13, 2026PECOS Enrolled
4590 NASH WAY STE 2300, SAINT LOUIS, MO 63110(314) 840-6102 Get Directions Write a Review

NPPES record last updated: June 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tiffany Estelle Maksimuk Md NPPES

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

TIFFANY ESTELLE MAKSIMUK MD (NPI 1255266276) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255266276
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTIFFANY ESTELLE MAKSIMUKCredential: MD
Location Address4590 NASH WAY STE 2300Saint Louis, MO 63110-1020
Mailing Address4590 Nash Way Ste 2300Saint Louis, MO 63110-1020 · (314) 840-6102
Sole ProprietorNo
Enumeration DateJune 13, 2026
NPPES CertifiedJune 13, 2026
NPI 1255266276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4590 NASH WAY STE 2300, Saint Louis, MO 63110

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tiffany Estelle Maksimuk 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.

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 Tiffany Maksimuk's NPI number?

The NPI number for Tiffany Maksimuk is 1255266276. It was assigned to this individual provider in the NPPES registry on June 13, 2026.

Where is Tiffany Maksimuk located?

Tiffany Maksimuk practices at 4590 Nash Way Ste 2300, Saint Louis, MO 63110. The listed phone number is (314) 840-6102.

What is Tiffany Maksimuk's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tiffany Maksimuk enrolled in Medicare?

Yes. Tiffany Maksimuk is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tiffany Maksimuk was last updated on June 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.