Individual provider Active NPI

Jeffrey C Tanzi, DO

  • Family Medicine Physician
  • Ottawa, IL
National Provider Identifier
1891706107
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036.121629 Issued in IL
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

Updated by the provider on Oct 17, 2022

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090119000072 IL Practitioner - Family Practice 2769489277 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), 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morris HospitalGroup PAC ID 1850372459, 115 clinicians

Practice addresses (Care Compare)

1306 Gemini Cir
Suite 1
Ottawa, IL 61350-1695
Phone (815) 433-9200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.121629ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morris Hospital CurrentSince Oct 10, 2022 Accepting new patients
Morris Hospital CurrentSince Oct 10, 2022 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

  • Direct secure messaging: jtanzimd294822@carlehiedirect.net
  • Direct secure messaging: jeffrey.tanzi.1@14307.direct.athenahealth.com
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.