Individual provider Active NPI

Tisa Anne Morris-Christian, M.D.,MPH

  • Family Medicine Physician
  • Frankfort, IL
National Provider Identifier
1497866065
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036101122 Issued in IL
Practice address
10225 W Lincoln Hwy
Frankfort, IL 60423-1279
Phone
(815) 464-0081
Fax
(815) 464-0538
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036101122 IL Primary

Addresses

Primary practice location

10225 W Lincoln Hwy
Frankfort, IL 60423-1279

Mailing address

10225 W Lincoln Hwy
Frankfort, IL 60423-1279
Phone (815) 464-0081

Other identifiers 1

IdentifierTypeStateIssuer
036101122MedicaidIL

Other names 1

  • Dr. Tisa Anne Morris Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090121000390 IL Practitioner - Family Practice 0345304259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10225 W Lincoln Hwy
Frankfort, IL 60423-1279
Phone (815) 464-0081

Hospital & facility affiliations

  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036101122ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Friendly Family Medical Care, Inc. CurrentSince Jan 2, 2009 Accepting new patients
Unified Therapeutics LLC Family Medicine Past Accepting new patients

Locations

10225 W Lincoln Hwy
Frankfort, IL 60423
Phone (815) 464-0081

640 Bankview Dr
Ste 2
Frankfort, IL 60423
Phone (815) 412-0142

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.

Hospital & facility affiliations 4

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1497866065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10225 W LINCOLN HWY",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231279",
            "telephone_number": "815-464-0081",
            "fax_number": "815-464-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10225 W LINCOLN HWY",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231279",
            "telephone_number": "815-464-0081",
            "fax_number": "815-464-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS-CHRISTIAN",
        "first_name": "TISA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.,MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036101122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036101122",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TISA",
            "last_name": "MORRIS",
            "middle_name": "ANNE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Frankfort, IL

Sources for this page

Verify at the official NPI Registry.