JEREMY DAVID TILLIM MD
NPI 1366423410
Emergency Medicine in Oakland, CA
About Jeremy David Tillim Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEREMY DAVID TILLIM MD (NPI 1366423410) is an individual emergency medicine provider in Oakland, California, licensed in California (G57659) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Nevada School Of Medicine (1985).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jeremy David Tillim Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Jeremy Tillim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oakland, CA 94605
- Reassigned Medicare billing, California enrollment
- 900 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94613 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OAKLAND, CA 94613
OAKLAND, CA 94613
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 Jeremy Tillim's NPI number?
The NPI number for Jeremy Tillim is 1366423410. It was assigned to this individual provider in the NPPES registry on November 7, 2005.
Where is Jeremy Tillim located?
Jeremy Tillim practices at 5000 Macarthur Blvd Pmb 9002, Oakland, CA 94613. The listed phone number is (925) 884-2365.
What is Jeremy Tillim's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Jeremy Tillim enrolled in Medicare?
Yes. Jeremy Tillim 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.
Which organization bills Medicare for Jeremy Tillim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Tillim reassigns Medicare benefits to Alameda Health System (Oakland, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeremy Tillim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jeremy Tillim was last updated on March 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Jeremy David Tillim, MD · NPI 1366423410
Emergency Medicine physician in Oakland, California. Individual provider, active in the CMS NPPES registry since November 7, 2005.
## Identity
- **NPI:** 1366423410 (Entity type: Individual)
- **Enumerated:** November 7, 2005
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** G57659 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 5000 MACARTHUR BLVD, PMB 9002, Oakland, CA 94613-1301
- **Phone:** (925) 884-2365 · **Fax:** (925) 884-2375
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Alameda Health System (NPI 1932300738, Oakland, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Nevada School Of Medicine, class of 1985
## Record status
- **NPPES last updated:** March 29, 2013
- **Other identifiers:** Other 00G576590 (CA); Medicare UPIN E72092; Medicaid 00G576590 (CA); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1366423410) · Data from the CMS NPPES public registry.