Individual provider Active NPI

Tiffani Erickson, MD

  • Obstetrics & Gynecology Physician
  • Washington, DC
National Provider Identifier
1003349564
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD049357 Issued in DC
Practice address
4200 Wisconsin Ave NW Ste 4
Washington, DC 20016-2143
Phone
(202) 295-0544
Fax
(877) 544-7752
NPI assigned
Apr 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 01096376A IN
Obstetrics & Gynecology Physician 207V00000X CDR.0004535 CO
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X MD049357 DC Primary

Addresses

Primary practice location

4200 Wisconsin Ave NW Ste 4
Washington, DC 20016-2143

Mailing address

4200 Wisconsin Ave NW Ste 4
Washington, DC 20016-2143
Phone (202) 295-0544

Other practice location 1

110 Irving St NW
Washington, DC 20010-3017
Phone (202) 877-8035

Other practice location 2

1115 Ronald Reagan Pkwy
Avon, IN 46123-6910
Phone (317) 217-2500

Other practice location 3

2030 Mountain View Ave Ste 400
Longmont, CO 80501-3182
Phone (720) 652-8730

Other identifiers 1

IdentifierTypeStateIssuer
1101023761OtherINANTHEM PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address terickson@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, WA, IN, IL, CO5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20210601001131 DC Practitioner - Obstetrics/Gynecology 5698174316 Reassigns benefits to 1 organization
I20250108003217 WA Practitioner - Obstetrics/Gynecology 5698174316 Reassigns benefits to 1 organization
I20250502002653 IN Practitioner - Obstetrics/Gynecology 5698174316 Reassigns benefits to 2 organizations
I20250617000526 IL Practitioner - Obstetrics/Gynecology 5698174316 Reassigns benefits to 1 organization
I20250902000059 CO Practitioner - Obstetrics/Gynecology 5698174316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians

Practice addresses (Care Compare)

611 W Park St
Urbana, IL 61801-2500

611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753

Hospital & facility affiliations

  • Carle Foundation Hospital Hospital, Urbana, IL, CCN 140091

Merit-based Incentive Payment System (MIPS)

Final score
82.97 of 100Reported as group
Quality
72.87
Promoting interoperability
100
Improvement activities
40
Cost
67.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
CDR.0004535COMDObstetrics & Gynecology Physician
MD049357DCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado CurrentSince Aug 7, 2025 Accepting new patients
Catholic Health Initiatives Colorado Obstetrics & Gynecology CurrentSince Aug 7, 2025 Accepting new patients
Carle Health Care Incorporated CurrentSince May 20, 2025 Accepting new patients
MGMC, LLC Current Accepting new patients
MGMC LLC CurrentSince May 1, 2021 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 1, 2021 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Public Hospital Dist No 1 Skagit Current Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince May 1, 2025 Accepting new patients
Iu Health Medical Group, LLC CurrentSince Jul 1, 2025 Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Jan 6, 2025 Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Jan 6, 2025 Accepting new patients
Carle Health Care Incorporated Past Accepting new patients
Public Hospital Dist No 1 Skagit Past Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

2030 Mountain View Ave
Ste 400
Longmont, CO 80501
Phone (303) 776-1532

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

4200 Wisconsin Ave NW
Washington, DC 20016
Phone (202) 243-3400

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

4200 Wisconsin Ave NW
Ste 4
Washington, DC 20016
Phone (202) 243-3400

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

5208 Reliable Pkwy
Chicago, IL 60686

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

1115 Ronald Reagan Pkwy
Ste 266
Avon, IN 46123
Phone (317) 209-2000

1115 Ronald Reagan Pkwy
Avon, IN 46123
Phone (317) 217-2500

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586

Networks

  • CO HMO
  • CO HMO D-SNP
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • NM HMO C-SNP

Interoperability endpoints

  • Direct secure messaging: tericksonmd452735@carlehiedirect.net
  • Direct secure messaging: terickson61673@skagit.direct-ci.com

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1003349564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 WISCONSIN AVE NW STE 4",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162143",
            "telephone_number": "202-295-0544",
            "fax_number": "877-544-7752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 WISCONSIN AVE NW STE 4",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162143",
            "telephone_number": "202-295-0544",
            "fax_number": "877-544-7752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Irving St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200103017",
            "country_code": "US",
            "telephone_number": "202-877-8035",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1115 Ronald Reagan Pkwy",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "IN",
            "postal_code": "461236910",
            "country_code": "US",
            "telephone_number": "317-217-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2030 Mountain View Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805013182",
            "country_code": "US",
            "telephone_number": "720-652-8730",
            "fax_number": "720-652-8729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "TIFFANI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-11",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01096376A",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "CDR.0004535",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "DC",
            "license": "MD049357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PTAN",
            "identifier": "1101023761",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "terickson@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1115 Ronald Reagan Pkwy",
            "city": "Avon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461236910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.