ILANA TIDUS DO
NPI 1447831623
Emergency Medicine in Pontiac, MI

Q: What is Ilana Tidus's NPI number?

The NPI number for Ilana Tidus is 1447831623. It was assigned to this individual provider in the NPPES registry on April 19, 2021.

Q: What is Ilana Tidus's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Ilana Tidus was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since April 19, 2021PECOS EnrolledAccepts Medicare Assignment

50 N PERRY ST, PONTIAC, MI 48342(248) 338-5392(248) 338-5567 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2024, Apr 19, 2021 (2 updates tracked since 2021).

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About Ilana Tidus Do NPPES

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

ILANA TIDUS DO (NPI 1447831623) is an individual emergency medicine provider in Pontiac, Michigan, licensed in Arizona (011226) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa (2021).

NPPES Registry Identity

NPI1447831623

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameILANA TIDUSCredential: DO

Location Address50 N PERRY STPontiac, MI 48342-2217

Mailing Address50 N Perry StPontiac, MI 48342-2217 · (248) 338-5392 · Fax (248) 338-5567

Phone(248) 338-5392

Fax(248) 338-5567

Sole ProprietorNo

Medical School CMSAt Still Un Of Hlth Sciences, Col Of Osteo Med, MesaGraduated 2021

Enumeration DateApril 19, 2021

Last NPPES UpdateAugust 12, 20242 updates tracked since enumeration

NPPES CertifiedAugust 12, 2024

✔ NPI 1447831623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in AZ · 011226

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

50 N PERRY ST, Pontiac, MI 48342

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..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

Ilana Tidus 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 ID6103296454

PECOS Enrollment IDI20240815003317

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 2

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

16 services16 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48342 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

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.

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.

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