TIFFANY TAHATA DO
NPI 1942820337
Internal Medicine - Addiction Medicine in Chicago, IL

Q: What is Tiffany Tahata's NPI number?

The NPI number for Tiffany Tahata is 1942820337. It was assigned to this individual provider in the NPPES registry on April 25, 2020.

Q: What is Tiffany Tahata's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Q: When was this NPI record last updated?

The NPPES record for Tiffany Tahata was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 25, 2020PECOS Enrolled

1725 W HARRISON ST, CHICAGO, IL 60612(312) 942-5000 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 25, 2024, Jul 27, 2023, Apr 25, 2020 (3 updates tracked since 2020).

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About Tiffany Tahata Do NPPES

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

TIFFANY TAHATA DO (NPI 1942820337) is an individual addiction medicine provider in Chicago, Illinois, licensed in Illinois (036165203) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Ventura.

NPPES Registry Identity

NPI1942820337

Entity TypeIndividualFemale

Primary Taxonomy207RA0401X

Provider Legal NameTIFFANY TAHATACredential: DO

Location Address1725 W HARRISON STChicago, IL 60612-3841

Mailing Address345 E Wacker Dr Apt 701Chicago, IL 60601-5289 · (808) 225-1989

Phone(312) 942-5000

Sole ProprietorYes

Enumeration DateApril 25, 2020

Last NPPES UpdateJune 25, 20243 updates tracked since enumeration

NPPES CertifiedJune 25, 2024

✔ NPI 1942820337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RA0401X

License✔ Licensed in IL · 036165203

Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

1725 W HARRISON ST, Chicago, IL 60612

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Secondary Practice Location 1

Location 1147 N Brent StVentura, CA 93003-2809 · Phone (805) 948-5672

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiffany Tahata Do 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.

Medicare Billing Reassignments

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

Pcc Community Wellness Center

5.5 mi

Federally Qualified Health Center (FQHC)

14 LAKE ST
Oak Park, IL 60302

Reassigned Medicare billing, Illinois enrollment
221 clinicians in this Medicare group

NPI 1871516799 (708) 383-0113

County Of Santa Clara

1,831 mi

Federally Qualified Health Center (FQHC)

7475 CAMINO ARROYO
Gilroy, CA 95020

Reassigned Medicare billing, California enrollment
2,460 clinicians in this Medicare group

NPI 1922093533 (408) 885-5000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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.

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.

DR. MARTA BATUS MD

Internal Medicine (Medical Oncology)

1725 W HARRISON ST, SUITE 809
CHICAGO, IL 60612

Cook County (312) 563-2487

KM WILLIAMS MD SC

Clinic/Center (Ophthalmologic Surgery)

1725 W HARRISON ST, STE 910
CHICAGO, IL 60612

Cook County (312) 622-7320

KENNETH M BOYER M.D.

Pediatrics (Pediatric Infectious Diseases)

1725 W HARRISON ST, SUITE 710
CHICAGO, IL 60612

Cook County (312) 942-3034

RUSH UNIVERSITY MEDICAL CENTER

Internal Medicine (Hematology)

1725 W HARRISON ST, SUITE 1010
CHICAGO, IL 60612

Cook County (312) 942-5904

DAVID ANSELL M.D.

Internal Medicine

1725 W HARRISON ST, SUITE 263
CHICAGO, IL 60612

Cook County (312) 942-6700

MIDWEST NEUROPSYCHIATRIC ASSOC LTD

Specialist

1725 W HARRISON ST, SUITE 744
CHICAGO, IL 60612

Cook County (312) 942-0118

JANICE DIESCHBOURG M.D.

Radiology (Diagnostic Radiology)

1725 W HARRISON ST, SUITE 155
CHICAGO, IL 60612

Cook County (312) 563-3269

AFFILIATED UROLOGISTS, LTD

Specialist

1725 W HARRISON ST, SUITE 762
CHICAGO, IL 60612

Cook County (312) 563-3447

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 Tiffany Tahata's NPI number?

The NPI number for Tiffany Tahata is 1942820337. It was assigned to this individual provider in the NPPES registry on April 25, 2020.

Where is Tiffany Tahata located?

Tiffany Tahata practices at 1725 W Harrison St, Chicago, IL 60612. The listed phone number is (312) 942-5000.

What is Tiffany Tahata's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Is Tiffany Tahata enrolled in Medicare?

Yes. Tiffany Tahata is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tiffany Tahata's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Tahata reassigns Medicare benefits to 2 organizations: Pcc Community Wellness Center (Oak Park, IL) and County Of Santa Clara (Gilroy, CA). 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 Tiffany Tahata's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tiffany Tahata was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.