Individual provider Active NPI

Tara Streich-Tilles, MD

  • Gynecology Physician
  • Cincinnati, OH
National Provider Identifier
1619396579
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
35.133617 Issued in OH
Practice address
3333 Burnet Avenue
MLC 2026
Cincinnati, OH 45229-3026
Phone
(513) 636-9400
Fax
(513) 636-0166
NPI assigned
Apr 8, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Gynecology Physician 207VG0400X 35.133617 OH Primary

Addresses

Primary practice location

3333 Burnet Avenue
MLC 2026
Cincinnati, OH 45229-3026

Mailing address

3333 Burnet Avenue
MLC 2026
Cincinnati, OH 45229-3026
Phone (513) 636-9400

Other practice location 1

108 S Lake Ave
Apt 5
Albany, NY 12208-3348
Phone (510) 316-3891

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200819004200 OH Practitioner - Obstetrics/Gynecology 9537585625 Reassigns benefits to 1 organization
I20231202000434 NC Practitioner - Obstetrics/Gynecology 9537585625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

5601 Arringdon Park Dr
Morrisville, NC 27560-5676
Phone (919) 684-8111

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Health Integrated Practice, Inc. CurrentSince Oct 15, 2023 Accepting new patients
Children'S Hospital Medical Center CurrentSince Jul 9, 2020 Accepting new patients

Locations

3341 Solutions Ctr
Chicago, IL 60677

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

4709 Creekstone Dr
Ste 300
Durham, NC 27703
Phone (919) 660-5066

5601 Arringdon Park Dr
Morrisville, NC 27560
Phone (888) 275-3853

3333 Burnet Ave
#2026
Cincinnati, OH 45229
Phone (513) 636-9400

3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200

3333 Burnet Ave
#5021
Cincinnati, OH 45229
Phone (513) 636-4225

Interoperability endpoints

  • Direct secure messaging: tsteichtilles560389@direct.medicine.duke.edu

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.

NPI Registry JSON

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1619396579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVENUE",
            "address_2": "MLC 2026",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293026",
            "telephone_number": "513-636-9400",
            "fax_number": "513-636-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVENUE",
            "address_2": "MLC 2026",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293026",
            "telephone_number": "513-636-9400",
            "fax_number": "513-636-0166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 S Lake Ave",
            "address_2": "Apt 5",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122083348",
            "country_code": "US",
            "telephone_number": "510-316-3891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STREICH-TILLES",
        "first_name": "TARA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-08",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OH",
            "license": "35.133617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.