SMYRNA TUBURAN MD
NPI 1679725261
Radiology - Pediatric Radiology in Minneapolis, MN

Active since October 15, 2008PECOS Enrolled
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404(952) 992-5398 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 10, 2025, Jun 6, 2022, Jun 25, 2021 and 1 more (4 updates tracked since 2017).

About Smyrna Tuburan Md NPPES

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

SMYRNA TUBURAN MD (NPI 1679725261) is an individual pediatric radiology provider in Minneapolis, Minnesota, licensed in Minnesota (78493) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2008).

NPPES Registry Identity

NPI1679725261
Entity TypeIndividualFemale
Primary Taxonomy2085P0229X
Provider Legal NameSMYRNA TUBURANCredential: MD
Location Address2525 CHICAGO AVEMinneapolis, MN 55404-4518
Mailing Address2525 Chicago AveMinneapolis, MN 55404-4518
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2008
Enumeration DateOctober 15, 2008
Last NPPES UpdateMarch 10, 20254 updates tracked since enumeration
NPPES CertifiedMarch 10, 2025
✔ NPI 1679725261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Pediatric RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085P0229X
Licenses✔ Licensed in MN · 78493✔ Licensed in GA · 78493
Definition
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
2525 CHICAGO AVE, Minneapolis, MN 55404

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Smyrna Tuburan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183848609
PECOS Enrollment IDI20250424002635
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 Reassignment

Medicare enrollment records show Smyrna Tuburan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anatomic Pathology & Clinical Pathology
2525 CHICAGO AVE S
Minneapolis, MN 55404
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Children's Health Care
  • 551 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Social Worker (Clinical)
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404
Pediatrics
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404
Nurse Practitioner (Neonatal)
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404
Pediatrics (Pediatric Infectious Diseases)
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404
Nurse Practitioner (Family)
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404
Nurse Practitioner (Pediatrics, Critical Care)
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404
Pediatrics
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404
Nurse Anesthetist, Certified Registered
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404

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 Smyrna Tuburan's NPI number?

The NPI number for Smyrna Tuburan is 1679725261. It was assigned to this individual provider in the NPPES registry on October 15, 2008.

Where is Smyrna Tuburan located?

Smyrna Tuburan practices at 2525 Chicago Ave, Minneapolis, MN 55404. The listed phone number is (952) 992-5398.

What is Smyrna Tuburan's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

Is Smyrna Tuburan enrolled in Medicare?

Yes. Smyrna Tuburan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Smyrna Tuburan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Smyrna Tuburan reassigns Medicare benefits to Childrens Health Care (Minneapolis, MN). The 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 Smyrna Tuburan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Smyrna Tuburan accept?

Health plans from Oscar Health list Smyrna Tuburan 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.

When was this NPI record last updated?

The NPPES record for Smyrna Tuburan was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.