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DR. NICHOLAS GEORGE TZANETAKOS MD
NPI 1720126535
Family Medicine in Montgomery, IL

Active since February 02, 2007PECOS Enrolled
99 BOULDER HILL PASS, MONTGOMERY, IL 60538(630) 897-2848(630) 897-4498 Get Directions Write a Review

NPPES record last updated: July 7, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nicholas George Tzanetakos Md NPPES

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

DR. NICHOLAS GEORGE TZANETAKOS MD (NPI 1720126535) is an individual family medicine provider in Montgomery, Illinois, licensed in Illinois (036066510) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720126535
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NICHOLAS GEORGE TZANETAKOSCredential: MD
Location Address99 BOULDER HILL PASSMontgomery, IL 60538
Mailing Address1256 Waterford Drive, Suite 230Aurora, IL 60504 · (630) 499-2404 · Fax (630) 499-2399
Phone(630) 897-2848
Fax(630) 897-4498
Sole ProprietorNo
Enumeration DateFebruary 2, 2007
Last NPPES UpdateJuly 7, 2017
✔ NPI 1720126535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036066510
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
99 BOULDER HILL PASS, Montgomery, IL 60538
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Other Identifiers 3

Medicare UPINC49127
Medicaid036066510IL
Medicare PIN772570IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicholas George Tzanetakos 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60538 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 3

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

VALLEY IMAGING VT, LLC
Radiology (Diagnostic Radiology)
99 BOULDER HILL PASS
MONTGOMERY, IL 60538
Kane County (630) 897-2848
PRIME CARE MEDICAL CENTER SC
Family Medicine
99 BOULDER HILL PASS
MONTGOMERY, IL 60538
Kane County (630) 897-2848
MRS. LISETTE TZANETAKOS SOLOMON MD
Internal Medicine
99 BOULDER HILL PASS
MONTGOMERY, IL 60538
Kane County (630) 897-2848

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 Nicholas Tzanetakos's NPI number?

The NPI number for Nicholas Tzanetakos is 1720126535. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Where is Nicholas Tzanetakos located?

Nicholas Tzanetakos practices at 99 Boulder Hill Pass, Montgomery, IL 60538. The listed phone number is (630) 897-2848.

What is Nicholas Tzanetakos's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nicholas Tzanetakos enrolled in Medicare?

Yes. Nicholas Tzanetakos is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicholas Tzanetakos was last updated on July 7, 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.