Active NPI
Assia Meziane-Tani, MD
- Neurology Physician
- Chicago, IL
National Provider Identifier
1487189973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 036.156407
- Practice address
- 259 E Erie St FL 19
Chicago, IL 60611-2987 - Phone
- (312) 695-7950
- NPI assigned
- Apr 22, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 57.029578 | OH | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Neurology Physician | 2084N0400X | 036.156407 | IL | Primary |
Addresses
Primary practice location
259 E Erie St FL 19
Chicago, IL 60611-2987
Mailing address
259 E Erie St FL 19
Chicago, IL 60611-2987
Phone (312) 695-7950
Other practice location 1
3113 Bellevue Ave
Cincinnati, OH 45219-3158
Phone (513) 584-4061
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.156407 | IL | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624579200000",
"number": "1487189973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "259 E ERIE ST FL 19",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112987",
"telephone_number": "312-695-7950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 E ERIE ST FL 19",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112987",
"telephone_number": "312-695-7950"
}
],
"practiceLocations": [
{
"address_1": "3113 Bellevue Ave",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452193158",
"country_code": "US",
"telephone_number": "513-584-4061",
"fax_number": "513-584-3349",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEZIANE-TANI",
"first_name": "ASSIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-22",
"last_updated": "2021-06-25",
"certification_date": "2021-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OH",
"license": "57.029578",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "036.156407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.