Active NPI
Tijana Bryan, MMS, PA-C
- Medical Physician Assistant
- Wheaton, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 085.006429
- Practice address
- 2001 N Gary Ave
Wheaton, IL 60187-3264 - Phone
- (630) 416-4501
- NPI assigned
- Nov 2, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 085.006429 | IL | Primary |
Addresses
Primary practice location
2001 N Gary Ave
Wheaton, IL 60187-3264
Mailing address
2001 N Gary Ave
Wheaton, IL 60187-3264
Phone (630) 416-4501
Other names 1
- Tijana Popovic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1600 N Randall Rd
Elgin, IL 60123-7803
Phone (847) 214-5100
1800 N Main St
Wheaton, IL 60187-3112
Phone (630) 933-4800
233 S Gary Ave
Bloomingdale, IL 60108-2213
Phone (630) 208-6775
636 Raymond Dr
Suite 204
Naperville, IL 60563-9791
Phone (630) 682-8700
7 Blanchard Cir
Wheaton, IL 60189-2037
Phone (630) 653-0848
Hospital & facility affiliations
- Northwestern Medicine Central Dupage Hospital
- Northwestern Medicine Delnor Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.63 of 100
- Quality
- 88.47
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085.006429 | IL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Dupage Physician Group | Current | Accepting new patients |
Locations
233 S Gary Ave
Bloomingdale, IL 60108
Phone (630) 208-6775
302 Randall Rd
Ste 304
Geneva, IL 60134
Phone (630) 208-6775
2001 N Gary Ave
Wheaton, IL 60187
Phone (630) 614-4100
7 Blanchard Cir
Ste 202
Wheaton, IL 60189
Phone (630) 208-6775
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
Interoperability endpoints
- tijana.popovic.p1@direct.gefcc.nextgenshare.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
-
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
- General Acute Care Hospital
- Geneva, IL
- NPI 1407859655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626825600000",
"number": "1063924736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 N GARY AVE",
"city": "WHEATON",
"state": "IL",
"postal_code": "601873264",
"telephone_number": "630-416-4501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 N GARY AVE",
"city": "WHEATON",
"state": "IL",
"postal_code": "601873264",
"telephone_number": "630-416-4501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYAN",
"first_name": "TIJANA",
"credential": "MMS, PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-02",
"last_updated": "2021-07-21",
"certification_date": "2021-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "IL",
"license": "085.006429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TIJANA",
"last_name": "POPOVIC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.