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DR. TEQUILLA STANCIEL MD
NPI 1922584762
Internal Medicine in Evanston, IL

Active since July 16, 2018PECOS EnrolledAccepts Medicare Assignment
84.57/100
CMS Quality Rating
2650 RIDGE AVE STE 1304, EVANSTON, IL 60201(847) 570-2700(847) 570-2416 Get Directions Write a Review

NPPES record last updated: July 16, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Tequilla Stanciel Md NPPES

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

DR. TEQUILLA STANCIEL MD (NPI 1922584762) is an individual internal medicine provider in Evanston, Illinois, licensed in Illinois (125.071778) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, is affiliated with John H Stroger Jr Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2018).

NPPES Registry Identity

NPI1922584762
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. TEQUILLA STANCIELCredential: MD
Location Address2650 RIDGE AVE STE 1304Evanston, IL 60201-1700
Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150
Phone(847) 570-2700
Fax(847) 570-2416
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2018
Enumeration DateJuly 16, 2018
✔ NPI 1922584762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 125.071778
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2650 RIDGE AVE STE 1304, Evanston, IL 60201
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Tequilla Stanciel Md 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 ID7113275561
PECOS Enrollment IDI20210621001706
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 Reassignments

2

Medicare enrollment records show Tequilla Stanciel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cook County
11 mi
Primary Care
5501 W. FULLERTON AVE
Chicago, IL 60639
  • Reassigned Medicare billing, Illinois enrollment
  • 1,047 clinicians in this Medicare group
NPI 1689794489 (312) 395-7400
Signify Health Medical Associates, PLLC
805 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Illinois enrollment
  • 712 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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

Areas of Expertise CMS Part B claims 2

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.

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.
155 services101 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
50 services45 patients

Hospital Affiliations CMS Care Compare

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

John H Stroger Jr Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140124
Location1901 W Harrison StChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60201 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.25
Promoting Interoperability100
Improvement Activities40
Cost67

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.

EILEEN VERA
Student in an Organized Health Care Education/Training Program
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Cook County (847) 666-3494
MARIANA MCCUNE MD
Student in an Organized Health Care Education/Training Program
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Cook County (847) 570-2700
ISRA HASNAIN
Family Medicine
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Cook County (847) 666-3494
DR. NICOLE RENEE PALMER MD, MPH
Student in an Organized Health Care Education/Training Program
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Cook County (847) 570-1010
ERIC COOPER
Internal Medicine
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Cook County (847) 570-2700
DR. OMKAR NITIN MORE MD
Student in an Organized Health Care Education/Training Program
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Cook County (847) 570-2700
RICHARD WANG MD
Student in an Organized Health Care Education/Training Program
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Cook County (847) 570-2700
SPENCER KIERS DO
Internal Medicine
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Cook County (847) 570-2700

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 Tequilla Stanciel's NPI number?

The NPI number for Tequilla Stanciel is 1922584762. It was assigned to this individual provider in the NPPES registry on July 16, 2018.

Where is Tequilla Stanciel located?

Tequilla Stanciel practices at 2650 Ridge Ave Ste 1304, Evanston, IL 60201. The listed phone number is (847) 570-2700.

What is Tequilla Stanciel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Tequilla Stanciel enrolled in Medicare?

Yes. Tequilla Stanciel 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.

Which organizations bill Medicare for Tequilla Stanciel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tequilla Stanciel reassigns Medicare benefits to 2 organizations: Cook County (Chicago, IL) and Signify Health Medical Associates, PLLC (Dallas, TX). Each 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 Tequilla Stanciel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Tequilla Stanciel affiliated with any hospitals?

According to CMS data, Tequilla Stanciel is affiliated with John H Stroger Jr Hospital.

When was this NPI record last updated?

The NPPES record for Tequilla Stanciel was last updated on July 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.