TIARANESHA JACKSON MD, MPH
NPI 1437907359
Dermatology in Chicago, IL

Active since May 07, 2024PECOS Enrolled
1950 W POLK ST STE 4800, CHICAGO, IL 60612(312) 864-4478 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 17, 2025, May 7, 2024 (2 updates tracked since 2024).

About Tiaranesha Jackson Md, Mph NPPES

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

TIARANESHA JACKSON MD, MPH (NPI 1437907359) is an individual dermatology provider in Chicago, Illinois, licensed in Illinois (125.083231) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437907359
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameTIARANESHA JACKSONCredential: MD, MPH
Location Address1950 W POLK ST STE 4800Chicago, IL 60612-3723
Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150
Sole ProprietorYes
Enumeration DateMay 7, 2024
Last NPPES UpdateJune 17, 20252 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
NPI 1437907359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in IL · 125.083231
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1950 W POLK ST STE 4800, Chicago, IL 60612

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tiaranesha Jackson Md, Mph 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 60612 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
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Tiaranesha Jackson's NPI number?

The NPI number for Tiaranesha Jackson is 1437907359. It was assigned to this individual provider in the NPPES registry on May 7, 2024.

Where is Tiaranesha Jackson located?

Tiaranesha Jackson practices at 1950 W Polk St Ste 4800, Chicago, IL 60612. The listed phone number is (312) 864-4478.

What is Tiaranesha Jackson's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Tiaranesha Jackson enrolled in Medicare?

Yes. Tiaranesha Jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tiaranesha Jackson was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.