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 with the weekly NPPES data releases published by CMS.

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: July 26, 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, and ordering and referring status from the CMS PECOS system.

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.

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.

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