1. Home
  2. Directory
  3. Michigan
  4. Southfield
  5. Internal Medicine
  6. NPI Profile

RALPH J TIDALGO MD
NPI 1427168525
Internal Medicine in Southfield, MI

Active since August 30, 2006PECOS Enrolled
26645 W 12 MILE RD, STE 109, SOUTHFIELD, MI 48034(248) 797-5293(248) 327-7394 Get Directions Write a Review

NPPES record last updated: January 1, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 22, 2016, Nov 14, 2016, Jun 15, 2016 (3 updates tracked since 2016).

About Ralph J Tidalgo Md NPPES

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

RALPH J TIDALGO MD (NPI 1427168525) is an individual internal medicine provider in Southfield, Michigan, licensed in Michigan (4301045963) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427168525
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRALPH J TIDALGOCredential: MD
Location Address26645 W 12 MILE RD, STE 109Southfield, MI 48034-7811
Mailing Address4889 Old Post CtBloomfield Hills, MI 48301-3554 · (248) 320-6409
Phone(248) 797-5293
Fax(248) 327-7394
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateJanuary 1, 20173 updates tracked since enumeration
✔ NPI 1427168525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301045963
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.
26645 W 12 MILE RD, Southfield, MI 48034
Open in Google Maps ↗

Other Identifiers 2

Medicaid4284823MI
Medicare UPINB90623

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ralph J Tidalgo 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.

Areas of Expertise CMS Part B claims 3

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
114 services45 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
102 services43 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48034 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 11

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

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier13 claims392 services$4.81 avg. paid by Medicare
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154
Other-Enteral and Parenteral · category OB006N
2 suppliers14 claims5,699 services$0.57 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers37 claims40 services$43.37 avg. paid by Medicare
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) E0465
DME-Other DME · category DE005N
1 supplier12 claims12 services$922.57 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier38 claims38 services$916.63 avg. paid by Medicare
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483
DME-Other DME · category DE000N
1 supplier31 claims31 services$789.69 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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEW IMAGE HOME MEDICAL EQUIPMENT INC.
Durable Medical Equipment & Medical Supplies
26645 W 12 MILE RD, STE 109
SOUTHFIELD, MI 48034
Oakland County (248) 440-5311
NATIONWIDE HOME HEALTH CARE INC
Home Health
26645 W 12 MILE RD, SUITE 212
SOUTHFIELD, MI 48034
Oakland County (248) 595-8134
SUSAN D SILK PHD
Psychologist (Clinical)
26645 W 12 MILE RD, STE 104
SOUTHFIELD, MI 48034
Oakland County (248) 350-9890
JOY HOME HEALTH CARE
Home Health
26645 W 12 MILE RD, SUITE 98
SOUTHFIELD, MI 48034
Oakland County (248) 864-8716
PURPLE HEART HOME HEALTH CARE INC
Home Health
26645 W 12 MILE RD, SUITE # 107A
SOUTHFIELD, MI 48034
Oakland County (248) 797-5293

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 Ralph Tidalgo's NPI number?

The NPI number for Ralph Tidalgo is 1427168525. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Ralph Tidalgo located?

Ralph Tidalgo practices at 26645 W 12 Mile Rd Ste 109, Southfield, MI 48034. The listed phone number is (248) 797-5293.

What is Ralph Tidalgo's specialty?

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

Is Ralph Tidalgo enrolled in Medicare?

Yes. Ralph Tidalgo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ralph Tidalgo was last updated on January 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.