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DR. JAMES ROBERT TISIUS III M.D.
NPI 1609122084
Internal Medicine in Dearborn, MI

Active since August 03, 2012PECOS EnrolledAccepts Medicare Assignment
18101 OAKWOOD BLVD, DEARBORN, MI 48124(313) 593-7000(313) 436-2061 Get Directions Write a Review

NPPES record last updated: June 23, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. James Robert Tisius Iii M.d. NPPES

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

DR. JAMES ROBERT TISIUS III M.D. (NPI 1609122084) is an individual internal medicine provider in Dearborn, Michigan, licensed in Michigan (4301101774) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS, is affiliated with Corewell Health Wayne Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1609122084
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JAMES ROBERT TISIUS IIICredential: M.D.
Location Address18101 OAKWOOD BLVDDearborn, MI 48124-4089
Mailing Address18101 Oakwood BlvdDearborn, MI 48124-4089 · (313) 593-7000 · Fax (313) 436-2061
Phone(313) 593-7000
Fax(313) 436-2061
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 3, 2012
Last NPPES UpdateJune 23, 2016
✔ NPI 1609122084 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 · 4301101774
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.
18101 OAKWOOD BLVD, Dearborn, MI 48124
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Dr. James Robert Tisius Iii M.d. 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 ID2466743265
PECOS Enrollment IDI20160627000963
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.

Medicare Billing Reassignments

3

Medicare enrollment records show James Tisius reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Oakwood Ambulatory LLC
Same address
Internal Medicine
18101 OAKWOOD BLVD
Dearborn, MI 48124
  • Reassigned Medicare billing, Michigan enrollment
  • 453 clinicians in this Medicare group
NPI 1003829441 (313) 593-7000
Meadowbrook Primary Care, PLLC
12 mi
Nursing Care
2050 N HAGGERTY RD STE 260
Canton, MI 48187
  • Reassigned Medicare billing, Michigan enrollment
  • 6 clinicians in this Medicare group
NPI 1154712073 (734) 892-2712
Beaumont Medical Group Hospital -Based Services
15 mi
Hospitalist
3601 W 13 MILE RD
Royal Oak, MI 48073
  • Reassigned Medicare billing, Michigan enrollment
  • 946 clinicians in this Medicare group
NPI 1427567858 (248) 898-5000

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 9

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
178 services102 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
164 services142 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
158 services59 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
131 services115 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
129 services69 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
60 services56 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Corewell Health Wayne Hospital

Acute Care Hospitals · Wayne, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230142
Location33155 Annapolis AveWayne, MI 48184 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48124 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 8

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

Commode chair, mobile or stationary, with detachable arms E0165
DME-Other DME · category DE000N
1 supplier12 claims12 services$9.27 avg. paid by Medicare
Hospital bed, variable height, hi-lo, with any type side rails, without mattress E0256
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$36.34 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
1 supplier33 claims33 services$40.58 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier17 claims17 services$13.34 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier60 claims60 services$62.71 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier24 claims24 services$29.81 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 20

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

MEGAN NICOLE SANBORN CRNA
Nurse Anesthetist, Certified Registered
18101 OAKWOOD BLVD
DEARBORN, MI 48124
Wayne County (313) 436-2374
DR. MATTHEW JOSEPH HUNT DO
Surgery
18101 OAKWOOD BLVD
DEARBORN, MI 48124
Wayne County (313) 593-7000
OAKWOOD AMBULATORY LLC
Internal Medicine
18101 OAKWOOD BLVD
DEARBORN, MI 48124
Wayne County (313) 593-7000
MICHAEL KROLL CRNA
Nurse Anesthetist, Certified Registered
18101 OAKWOOD BLVD, ANESTHESIA DEPT
DEARBORN, MI 48124
Wayne County (313) 593-7820
DR. NEHA DESAI PHARM.D.
Pharmacist (Pharmacotherapy)
18101 OAKWOOD BLVD, PHARMACY
DEARBORN, MI 48124
Wayne County (313) 593-7268
DR. ROHAN LALITH DERANIYAGALA M.D.
Radiology (Radiation Oncology)
18101 OAKWOOD BLVD
DEARBORN, MI 48124
Wayne County (248) 551-5490
KIA SWEENEY
Psychiatry & Neurology (Psychiatry)
18101 OAKWOOD BLVD
DEARBORN, MI 48124
Wayne County (947) 522-3088
JESSICA FLINT MD
Obstetrics & Gynecology
18101 OAKWOOD BLVD
DEARBORN, MI 48124
Wayne County (313) 436-2582

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 James Tisius's NPI number?

The NPI number for James Tisius is 1609122084. It was assigned to this individual provider in the NPPES registry on August 3, 2012.

Where is James Tisius located?

James Tisius practices at 18101 Oakwood Blvd, Dearborn, MI 48124. The listed phone number is (313) 593-7000.

What is James Tisius's specialty?

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

Is James Tisius enrolled in Medicare?

Yes. James Tisius 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 organizations bill Medicare for James Tisius's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Tisius reassigns Medicare benefits to 3 organizations: Oakwood Ambulatory LLC (Dearborn, MI), Meadowbrook Primary Care, PLLC (Canton, MI) and Beaumont Medical Group Hospital -Based Services (Royal Oak, MI). Each 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 James Tisius's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Tisius accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list James Tisius as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James Tisius affiliated with any hospitals?

According to CMS data, James Tisius is affiliated with Corewell Health Wayne Hospital.

When was this NPI record last updated?

The NPPES record for James Tisius was last updated on June 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.