MANUELA TEJADA TOBON MD
NPI 1831085109
Family Medicine in Oak Lawn, IL

Active since June 14, 2025PECOS Enrolled
4220 W 95TH ST, OAK LAWN, IL 60453(312) 949-4200(708) 423-1899 Get Directions Write a Review

NPPES record last updated: January 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 11, 2026, Jun 16, 2025, Jun 14, 2025 (3 updates tracked since 2025).

About Manuela Tejada Tobon Md NPPES

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

MANUELA TEJADA TOBON MD (NPI 1831085109) is an individual family medicine provider in Oak Lawn, Illinois, licensed in Illinois (125.086641) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1831085109
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMANUELA TEJADA TOBONCredential: MD
Location Address4220 W 95TH STOak Lawn, IL 60453-2793
Mailing Address600 S Paulina StChicago, IL 60612-3806 · (312) 942-2729
Fax(708) 423-1899
Sole ProprietorNo
Enumeration DateJune 14, 2025
Last NPPES UpdateJanuary 11, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2026
NPI 1831085109 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 · 125.086641
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.
4220 W 95TH ST, Oak Lawn, IL 60453

Secondary Practice Location 1

Location 1600 S Paulina StChicago, IL 60612-3806 · Phone (312) 942-2729

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Manuela Tejada Tobon 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 60453 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.

Pediatrics
4220 W 95TH ST
OAK LAWN, IL 60453
Pediatrics
4220 W 95TH ST
OAK LAWN, IL 60453
Pediatrics
4220 W 95TH ST
OAK LAWN, IL 60453
Hospitalist
4220 W 95TH ST
OAK LAWN, IL 60453
Hospitalist
4220 W 95TH ST
OAK LAWN, IL 60453
Dietitian, Registered
4220 W 95TH ST, SUITE 200
OAK LAWN, IL 60453
Pediatrics
4220 W 95TH ST
OAK LAWN, IL 60453
Pediatrics
4220 W 95TH ST
OAK LAWN, IL 60453

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 Manuela Tejada Tobon's NPI number?

The NPI number for Manuela Tejada Tobon is 1831085109. It was assigned to this individual provider in the NPPES registry on June 14, 2025.

Where is Manuela Tejada Tobon located?

Manuela Tejada Tobon practices at 4220 W 95th St, Oak Lawn, IL 60453. The listed phone number is (312) 949-4200.

What is Manuela Tejada Tobon's specialty?

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

Is Manuela Tejada Tobon enrolled in Medicare?

Yes. Manuela Tejada Tobon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Manuela Tejada Tobon was last updated on January 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.