Active NPI
Jeffrey C Tanzi, DO
- Family Medicine Physician
- Ottawa, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036.121629
- Practice address
- 1306 Gemini Cir Ste 1
Ottawa, IL 61350-1695 - Phone
- (815) 433-9200
- Fax
- (815) 705-1716
- NPI assigned
- Aug 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036.121629 | IL | Primary |
Addresses
Primary practice location
1306 Gemini Cir Ste 1
Ottawa, IL 61350-1695
Mailing address
725 School St Ste a
Morris, IL 60450-1207
Phone (815) 941-9124
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1306 Gemini Cir
Suite 1
Ottawa, IL 61350-1695
Phone (815) 433-9200
Hospital & facility affiliations
- Resilience Home Health, LLC
- Osf Healthcare Home Care
- Morris Hospital & Healthcare Centers
- Osf Saint Elizabeth MDL Ctr
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.121629 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morris Hospital | Current | Accepting new patients | |
| Morris Hospital | Current | Accepting new patients | |
| Morris Hospital | Current | Accepting new patients | |
| Mercy Health Services-Iowa Corp | Past | Accepting new patients | |
| Morris Hospital | Family Medicine | Past | Accepting new patients |
Locations
725 School St
Ste A
Morris, IL 60450
150 W High St
Morris, IL 60450
Phone (815) 942-2129
1306 Gemini Cir
Ste 1
Ottawa, IL 61350
Phone (815) 433-9200
Interoperability endpoints
- jtanzimd294822@carlehiedirect.net
- jeffrey.tanzi.1@14307.direct.athenahealth.com
- jeffrey.tanzi@direct-address.org
Organizations & group practices 5
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.
-
- General Practice Physician
- Morris, IL
- NPI 1558466268
-
- Health Service Clinic/Center
- Morris, IL
- NPI 1376658658
-
- General Acute Care Hospital
- Morris, IL
- NPI 1649370057
-
- Community/Retail Pharmacy
- Northwood, IA
- NPI 1316909484
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Morris, IL
- NPI 1649370057
-
- General Acute Care Hospital
- Peru, IL
- NPI 1588713440
-
- Home Health Agency
- Aurora, IL
- NPI 1912107517
-
- Home Health Agency
- Loves Park, IL
- NPI 1023051992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665964800000",
"number": "1891706107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 SCHOOL ST STE A",
"city": "MORRIS",
"state": "IL",
"postal_code": "604501207",
"telephone_number": "815-941-9124",
"fax_number": "815-941-4363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1306 GEMINI CIR STE 1",
"city": "OTTAWA",
"state": "IL",
"postal_code": "613501695",
"telephone_number": "815-433-9200",
"fax_number": "815-705-1716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANZI",
"first_name": "JEFFREY",
"middle_name": "C",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2022-10-17",
"certification_date": "2022-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036.121629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ottawa, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.