Jan B Tawakol, M.D.
Individual provider Active NPI Nephrology Physician · Christiansted, VI
NPI 1750375671 · NPPES record last updated Oct 7, 2025
Key facts
- NPI
- 1750375671
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 1675 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Virgin Islands Healthcare Foundation, Inc.
Dialysis Access Specialists LLC
Plessen Medical Group, LLC
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
- Gov Juan F Luis Hospital & Medical Ctr
Merit-based Incentive Payment System (MIPS)
- Final score
- 28.94 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 96.46
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Vihcf Rural Health Clinic |
Rural health clinic | Corporate Director (100%) | Nov 19, 2018 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110601000009 | VI | Practitioner - Internal Medicine |
3779531900 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME86769 | FL | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virgin Islands Healthcare Foundation, Inc. | Nephrology | Current |
Accepting new patients |
| Plessen Medical Group, LLC | Current |
Accepting new patients | |
| Dialysis Access Specialists, LLC | Internal Medicine | Current |
Accepting new patients |
| Plessen Medical Group, LLC | Current |
Accepting new patients | |
| Plessen Optical, LLC | Past |
Accepting new patients | |
| Plessen ENT | Past |
Accepting new patients | |
| Plessen Eye, LLC | Past |
Accepting new patients | |
| Southwest Kidney Institute, PLC | Nephrology | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ME86769 | FL | |
| Internal Medicine Physician | 207R00000X | 1675 | VI | |
| Nephrology Physician | 207RN0300X | 1675 | VI | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 898629 | Medicaid | AZ |
Other providers in Christiansted, VI
- Peter W Stewart
- Superior Medical DME & Supplies LLC
- Superior Supplies
- Surgical Choice
- Anna Sylvia
- Zackery J Tegge
- Templeworks Wellness & Therapeutics
- The Guy Alexander Ambulatory Medicine Academy
- The Heart Center PC
- The Prevention Specialists LLC
All providers in Christiansted, VI · Nephrology Physician in U.S. Virgin Islands
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.