TISHA JOERLA MIRASOL TAN M.D.
NPI 1881959872
Internal Medicine - Nephrology in Crystal Lake, IL

Q: What is Tisha Joerla Tan's NPI number?

The NPI number for Tisha Joerla Tan is 1881959872. It was assigned to this individual provider in the NPPES registry on July 6, 2012.

Q: What is Tisha Joerla Tan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Tisha Joerla Tan was last updated on September 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 06, 2012PECOS EnrolledAccepts Medicare Assignment

442 N IL ROUTE 31, CRYSTAL LAKE, IL 60012(224) 238-3211(224) 535-8215 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 15, 2022, Dec 21, 2021, Mar 17, 2018 and 2 more (5 updates tracked since 2015).

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About Tisha Joerla Mirasol Tan M.d. NPPES

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

TISHA JOERLA MIRASOL TAN M.D. (NPI 1881959872) is an individual nephrology provider in Crystal Lake, Illinois, licensed in Illinois (036137011) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with Advocate Sherman Hospital, and maintains a secondary practice location in Elgin.

NPPES Registry Identity

NPI1881959872

Entity TypeIndividualFemale

Primary Taxonomy207RN0300X

Provider Legal NameTISHA JOERLA MIRASOL TANCredential: M.D.

Location Address442 N IL ROUTE 31Crystal Lake, IL 60012-3709

Mailing AddressPo Box 3877Joliet, IL 60434-3877 · (815) 741-6830 · Fax (815) 741-6832

Phone(224) 238-3211

Fax(224) 535-8215

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateJuly 6, 2012

Last NPPES UpdateSeptember 15, 20225 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2022

✔ NPI 1881959872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in IL · 036137011

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

442 N IL ROUTE 31, Crystal Lake, IL 60012

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Secondary Practice Location 1

Location 11670 Capital St Unit 900Elgin, IL 60124-7837 · Phone (847) 285-1908

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tisha Joerla Mirasol Tan 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 ID5294037958

PECOS Enrollment IDI20170322000482

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.

Areas of Expertise CMS Part B claims 13

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 hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

1,894 services494 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

823 services342 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

586 services113 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.

423 services356 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

299 services97 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

170 services103 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

71 services13 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

66 services66 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

63 services18 patients

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

61 services21 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

28 services28 patients

Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment 99453

Remote monitoring of physiologic parameters involves using special equipment to track vital signs like heart rate and blood pressure from a distance. The initial set-up includes installing the device and teaching the patient how to use it correctly for accurate readings.

16 services16 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Advocate Sherman Hospital

Acute Care Hospitals · Elgin, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140030

Location1425 North Randall RoadElgin, IL 60123 · Kane County

Emergency services Birthing friendly

Northwestern Medicine Mchenry

Acute Care Hospitals · Mchenry, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140116

Location4201 Medical Center DriveMchenry, IL 60050 · Mc Henry County

Emergency services Birthing friendly

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140130

Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County

Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140242

Location25 North Winfield RoadWinfield, IL 60190 · Du Page County

Emergency services Birthing friendly

Advocate Good Shepherd Hospital

Acute Care Hospitals · Barrington, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140291

Location450 West Highway 22Barrington, IL 60010 · Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60012 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

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.

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Other Providers at the Same Location NPPES 7

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

DR. IRFAN K MOINUDDIN M.D.

Internal Medicine (Nephrology)

442 N IL ROUTE 31
CRYSTAL LAKE, IL 60012

McHenry County (224) 238-3211

MRS. JENNIFER MARIE LAWRENCE C.N.P.

Nurse Practitioner (Family)

442 N IL ROUTE 31
CRYSTAL LAKE, IL 60012

McHenry County (224) 238-3211

KIDNEY CARE CENTER ELGIN LLC

Internal Medicine (Nephrology)

442 N IL ROUTE 31
CRYSTAL LAKE, IL 60012

McHenry County (224) 238-3211

DR. VENKATA L.N.V.K BUDDHARAJU M.D

Internal Medicine (Nephrology)

442 N IL ROUTE 31, APARTMENT
CRYSTAL LAKE, IL 60012

McHenry County (224) 238-3211

ARELIS QUINTANA APRN

Nurse Practitioner (Family)

442 N IL ROUTE 31
CRYSTAL LAKE, IL 60012

McHenry County (224) 238-3211

RUCHI SOOD MD

Internal Medicine (Nephrology)

442 N IL ROUTE 31
CRYSTAL LAKE, IL 60012

McHenry County (224) 238-3211

DR. FARHAN J BANGASH DO

Internal Medicine (Nephrology)

442 N IL ROUTE 31
CRYSTAL LAKE, IL 60012

McHenry County (224) 238-3211

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 Tisha Joerla Tan's NPI number?

The NPI number for Tisha Joerla Tan is 1881959872. It was assigned to this individual provider in the NPPES registry on July 6, 2012.

Where is Tisha Joerla Tan located?

Tisha Joerla Tan practices at 442 N Il Route 31, Crystal Lake, IL 60012. The listed phone number is (224) 238-3211.

What is Tisha Joerla Tan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Tisha Joerla Tan enrolled in Medicare?

Yes. Tisha Joerla Tan 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.

What insurance does Tisha Joerla Tan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and MercyCare Health Plans list Tisha Joerla Tan 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 Tisha Joerla Tan affiliated with any hospitals?

According to CMS data, Tisha Joerla Tan is affiliated with Advocate Sherman Hospital, Northwestern Medicine Mchenry, Northwestern Lake Forest Hospital, Northwestern Medicine Central Dupage Hospital and Advocate Good Shepherd Hospital.

When was this NPI record last updated?

The NPPES record for Tisha Joerla Tan was last updated on September 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.