NICHELL TIDWELL M.D.
NPI 1740200765
Emergency Medicine - Pediatric Emergency Medicine in Chicago, IL

Q: What is Nichell Tidwell's NPI number?

The NPI number for Nichell Tidwell is 1740200765. It was assigned to this individual provider in the NPPES registry on July 20, 2006. The provider is also known as Nichell Tidwell M.D..

Q: What is Nichell Tidwell's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Pediatric Emergency Medicine, with taxonomy code 207PP0204X.

Q: When was this NPI record last updated?

The NPPES record for Nichell Tidwell was last updated on April 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 20, 2006PECOS Enrolled

225 E CHICAGO AVE, CHICAGO, IL 60611(800) 543-7362 Get Directions Write a Review

NPPES record last updated: April 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nichell Tidwell M.d. NPPES

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

NICHELL TIDWELL M.D. (NPI 1740200765) is an individual pediatric emergency medicine provider in Chicago, Illinois, licensed in Illinois (036086376) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740200765

Entity TypeIndividualFemale

Primary Taxonomy207PP0204X

Provider Legal NameNICHELL TIDWELLCredential: M.D.

Location Address225 E CHICAGO AVEChicago, IL 60611-2991

Mailing Address225 E Chicago Ave # 152Chicago, IL 60611-2991 · (800) 543-7362

Phone(800) 543-7362

Sole ProprietorNo

Enumeration DateJuly 20, 2006

Last NPPES UpdateApril 29, 2020

NPPES CertifiedApril 29, 2020

✔ NPI 1740200765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency Medicine · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207PP0204X

License✔ Licensed in IL · 036086376

Definition

Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 036086376 (IL)

225 E CHICAGO AVE, Chicago, IL 60611

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Other Names 1

Professional Name (2)Nichell Tidwell M.d.

Other Identifiers 1

Medicaid036086376IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nichell Tidwell M.d. 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 60611 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

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

BESSEY ELIZABETH JOSE GEEVARGHESE DO

Pediatrics