JONATHAN TILLMAN
NPI 1265853121
Pediatrics in Sacramento, CA

Q: What is Jonathan Tillman's NPI number?

The NPI number for Jonathan Tillman is 1265853121. It was assigned to this individual provider in the NPPES registry on December 19, 2013.

Q: What is Jonathan Tillman'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 Jonathan Tillman was last updated on February 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 December 19, 2013PECOS Enrolled

1020 29TH ST STE 480, SACRAMENTO, CA 95816(916) 733-3777 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 14, 2025, Aug 24, 2018 (2 updates tracked since 2018).

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About Jonathan Tillman NPPES

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

JONATHAN TILLMAN (NPI 1265853121) is an individual pediatrics provider in Sacramento, California, licensed in California (A144918) and active in the NPI registry since December 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265853121

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameJONATHAN TILLMAN

Location Address1020 29TH ST STE 480Sacramento, CA 95816-5173

Mailing AddressPo Box 255228Sacramento, CA 95865-5228

Phone(916) 733-3777

Sole ProprietorNo

Enumeration DateDecember 19, 2013

Last NPPES UpdateFebruary 14, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 14, 2025

✔ NPI 1265853121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A144918

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.

1020 29TH ST STE 480, Sacramento, CA 95816

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Tillman 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 95816 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

$92.61 typical visit price

range $60.44 – $180.85

Typical copayment $23.15 (range $15.11 – $45.21)

Most-billed visit code 99203

Established Patient

$105.95 typical visit price

range $19.88 – $148.15

Typical copayment $26.48 (range $4.97 – $37.03)

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.

AMARDEEP SINGH BHATTI

Family Medicine