Individual provider Active NPI

Jan B Tawakol, M.D.

  • Nephrology Physician
  • Christiansted, VI
National Provider Identifier
1750375671
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
1675 Issued in VI
Practice address
3004 Orange Grove
Suite 2
Christiansted, VI 00820-4288
Phone
(340) 715-7720
Fax
(340) 713-9002
NPI assigned
Sep 7, 2005
Last updated
Oct 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME86769 FL
Internal Medicine Physician 207R00000X 1675 VI
Nephrology Physician 207RN0300X 1675 VI Primary

Addresses

Primary practice location

3004 Orange Grove
Suite 2
Christiansted, VI 00820-4288

Mailing address

3004 Orange Grove
Suite 2
Christiansted, VI 00820-4288
Phone (340) 715-7720

Other practice location 1

Sunny Isles Shpping Center Space 1,2,3a
Christiansted, VI 00820
Phone (340) 202-0084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI
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
I20110601000009 VI Practitioner - Internal MedicinePractitioner - Nephrology 3779531900 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dialysis Access Specialists LLCGroup PAC ID 2163609181, 2 clinicians
Plessen Medical Group, LLCGroup PAC ID 8921303918, 7 clinicians

Practice addresses (Care Compare)

3004 Orange Grove
Chrisitiansted, VI 00820

5 Orange Grove
Christiansted, VI 00820
Phone (340) 715-7720

Sunny Isles Shopping Ctr Space
Christiansted, VI 00820
Phone (602) 885-3917

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
28.94 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
96.46

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1675PRMDNutritionist
ME86769FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Plessen Medical Group, LLC CurrentSince Jun 13, 2014 Accepting new patients
Virgin Islands Healthcare Foundation, Inc. Nephrology CurrentSince Dec 15, 2024 Accepting new patients
Plessen Medical Group, LLC CurrentSince Dec 5, 2015 Accepting new patients
Dialysis Access Specialists, LLC Internal Medicine CurrentSince Feb 23, 2011 Accepting new patients
Plessen ENT PastSince Jun 28, 2022 Accepting new patients
Southwest Kidney Institute, PLC Nephrology Past Accepting new patients
Plessen Optical, LLC PastSince Feb 4, 2014 Accepting new patients
Plessen Eye, LLC PastSince Oct 10, 2017 Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Vihcf Rural Health ClinicChristiansted, VI, CCN 483800 Rural health clinic Corporate Director (100%) Nov 19, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 1

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": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1750375671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 ORANGE GROVE",
            "address_2": "SUITE 2",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008204288",
            "telephone_number": "340-715-7720",
            "fax_number": "340-713-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 ORANGE GROVE",
            "address_2": "SUITE 2",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008204288",
            "telephone_number": "340-715-7720",
            "fax_number": "340-713-9002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Sunny Isles Shpping Center Space 1,2,3a",
            "address_purpose": "LOCATION",
            "city": "Christiansted",
            "state": "VI",
            "postal_code": "00820",
            "country_code": "US",
            "telephone_number": "340-202-0084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAWAKOL",
        "first_name": "JAN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME86769",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VI",
            "license": "1675",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VI",
            "license": "1675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansted, VI

Sources for this page

Verify at the official NPI Registry.