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TIFFANY TSHIBUABUA DO
NPI 1417606039
Family Medicine in Tinley Park, IL

Active since March 21, 2022PECOS EnrolledAccepts Medicare Assignment
17495 LA GRANGE RD, TINLEY PARK, IL 60487(708) 857-5800(708) 857-5805 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Tiffany Tshibuabua Do NPPES

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

TIFFANY TSHIBUABUA DO (NPI 1417606039) is an individual family medicine provider in Tinley Park, Illinois, licensed in Illinois (036-177341) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Muncie, and is a graduate of West Virginia School Of Osteopathic Medicine (2020).

NPPES Registry Identity

NPI1417606039
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTIFFANY TSHIBUABUACredential: DO
Location Address17495 LA GRANGE RDTinley Park, IL 60487-7581
Mailing AddressPo Box 713260Chicago, IL 60677-1260 · (630) 469-9200
Phone(708) 857-5800
Fax(708) 857-5805
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2020
Enumeration DateMarch 21, 2022
Last NPPES UpdateOctober 24, 2025
NPPES CertifiedOctober 24, 2025
✔ NPI 1417606039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036-177341
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.
17495 LA GRANGE RD, Tinley Park, IL 60487
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Other Names 1

Former Name (1)Tiffany Olivia Mcgary Do

Secondary Practice Location 1

Location 1221 N Celia AveMuncie, IN 47303-4609 · Phone (765) 747-3141 · Fax (765) 741-2977

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

Tiffany Tshibuabua Do 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 ID7012397995
PECOS Enrollment IDI20251015002790
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 60487 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $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.

BLANCA E HERRERA MD
Emergency Medicine
17495 LA GRANGE RD
TINLEY PARK, IL 60487
Cook County (708) 364-3163
JENNIFER LYNN METER LCSW
Social Worker (Clinical)
17495 LA GRANGE RD
TINLEY PARK, IL 60487
Cook County (708) 226-7000
DR. NAFISA B IBRAHIM MD
Radiology (Diagnostic Radiology)
17495 LA GRANGE RD
TINLEY PARK, IL 60487
Cook County (708) 226-7050
CATHERINE ALEXANDRIA CZAJA APRN
Nurse Practitioner
17495 LA GRANGE RD
TINLEY PARK, IL 60487
Cook County (708) 388-5500
JACLYN L MIS PAC
Physician Assistant
17495 LA GRANGE RD
TINLEY PARK, IL 60487
Cook County (815) 416-6641
JANE POMRANKY
Nurse Practitioner (Family)
17495 LA GRANGE RD
TINLEY PARK, IL 60487
Cook County (708) 226-7000
NICOLE R MOTT DO
Emergency Medicine
17495 LA GRANGE RD
TINLEY PARK, IL 60487
Cook County (708) 364-3163
DR. DANIEL SOGIN SON M.D.
Radiology (Diagnostic Radiology)
17495 LA GRANGE RD
TINLEY PARK, IL 60487
Cook County (708) 226-7000

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 Tshibuabua's NPI number?

The NPI number for Tiffany Tshibuabua is 1417606039. It was assigned to this individual provider in the NPPES registry on March 21, 2022. The provider is also known as Tiffany Olivia Mcgary Do.

Where is Tiffany Tshibuabua located?

Tiffany Tshibuabua practices at 17495 La Grange Rd, Tinley Park, IL 60487. The listed phone number is (708) 857-5800.

What is Tiffany Tshibuabua's specialty?

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

Is Tiffany Tshibuabua enrolled in Medicare?

Yes. Tiffany Tshibuabua 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.

When was this NPI record last updated?

The NPPES record for Tiffany Tshibuabua was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.