DR. TINA M. PORTILLO M.D.
NPI 1326359670
Internal Medicine in Burnsville, MN

Active since July 01, 2010PECOS EnrolledAccepts Medicare Assignment
14000 FAIRVIEW DR, BURNSVILLE, MN 55337(952) 993-8700 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 11, 2021, Jan 17, 2017 (2 updates tracked since 2017).

About Dr. Tina M. Portillo M.d. NPPES

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

DR. TINA M. PORTILLO M.D. (NPI 1326359670) is an individual internal medicine provider in Burnsville, Minnesota, licensed in Minnesota (54226) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (2010).

NPPES Registry Identity

NPI1326359670
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. TINA M. PORTILLOCredential: M.D.
Location Address14000 FAIRVIEW DRBurnsville, MN 55337-5713
Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516
Sole ProprietorYes
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 2010
Enumeration DateJuly 1, 2010
Last NPPES UpdateMarch 11, 20212 updates tracked since enumeration
NPPES CertifiedMarch 11, 2021
NPI 1326359670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MN · 54226
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.
14000 FAIRVIEW DR, Burnsville, MN 55337

Accepted Insurance

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. Tina M. Portillo M.d. 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 ID7618101205
PECOS Enrollment IDI20131015001094
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.

Areas of Expertise CMS Part B claims 23

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
202 services90 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
139 services82 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
93 services71 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
90 services75 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
83 services56 patients
Liver enzyme (sgot), level 84450
A Liver Enzyme (SGOT) Level test is a simple blood test used to measure the amount of certain enzymes in your blood. These enzymes are normally found in liver cells. If the liver is damaged or diseased, these enzymes can leak into your bloodstream, indicating potential liver issues.
76 services60 patients

Hospital Affiliations CMS Care Compare

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

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240053
Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55337 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers13 claims34 services$5.62 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$68.75 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers28 claims28 services$185.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physical Therapist
14000 FAIRVIEW DR
BURNSVILLE, MN 55337
Physician Assistant
14000 FAIRVIEW DR
BURNSVILLE, MN 55337
Obstetrics & Gynecology
14000 FAIRVIEW DR
BURNSVILLE, MN 55337
Family Medicine
14000 FAIRVIEW DR
BURNSVILLE, MN 55337
Physician Assistant
14000 FAIRVIEW DR
BURNSVILLE, MN 55337
Internal Medicine
14000 FAIRVIEW DR
BURNSVILLE, MN 55337
Nurse Practitioner (Gerontology)
14000 FAIRVIEW DR
BURNSVILLE, MN 55337
Pediatrics
14000 FAIRVIEW DR
BURNSVILLE, MN 55337

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 Tina Portillo's NPI number?

The NPI number for Tina Portillo is 1326359670. It was assigned to this individual provider in the NPPES registry on July 1, 2010.

Where is Tina Portillo located?

Tina Portillo practices at 14000 Fairview Dr, Burnsville, MN 55337. The listed phone number is (952) 993-8700.

What is Tina Portillo's specialty?

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

Is Tina Portillo enrolled in Medicare?

Yes. Tina Portillo 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.

What insurance does Tina Portillo accept?

Health plans from HealthPartners and Medica list Tina Portillo 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 Tina Portillo affiliated with any hospitals?

According to CMS data, Tina Portillo is affiliated with Park Nicollet Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Tina Portillo was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.