MISS TANIYAMOL JOSEPH (NP) – Nurse Practitioner, NPI 1760030498

MISS TANIYAMOL JOSEPH (NP) is a healthcare provider. based in Des plaines, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 209019253 (IL). The NPI Number for MISS TANIYAMOL JOSEPH (NP) is 1760030498

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MISS TANIYAMOL JOSEPH (NP)
NPI
1760030498
Phone
(224) 616-0485
Address
8995 Kennedy Dr Apt 1F
Enumeration Date
27 August 2019
Last Update Date
26 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8476237590
Graduation Year
2018 (8 years ago)
PAC ID
1254756331
Group Practice PAC ID
0042539173
Professional Enrollment ID
I20200806001521
Address ID
IL600854983WA2504XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MISS TANIYAMOL JOSEPH (NP)

  • 8995 Kennedy Dr Apt 1F

    Des Plaines, IL 600165400

    Phone: (224) 616-0485

    Type: Location

  • 450, North 5th Avenue, Des Plaines, Cook County, Illinois, 60016, United States

    DES PLAINES, IL 600161123

    Phone: (224) 616-0485

    Type: Mailing

  • West Army Trail Road, Carol Stream, DuPage County, Illinois, 60108, United States

    CAROL STREAM, IL 601889297

    Phone: (630) 233-8343

    Type: Location

  • 8995 KENNEDY DR APT 1F

    DES PLAINES, IL 600165400

    Phone: (224) 616-0485

    Type: Mailing

  • 2504 WASHINGTON ST STE 102

    WAUKEGAN, IL 600854960

    Phone: (847) 623-7590

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-08-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200806001521INurse PractitionerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes694166$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes35980$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes9089$0
View full utilization report →

Insurance plans in this area (ZIP 60016)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042539173View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to MISS TANIYAMOL JOSEPH (NP)?
NPI 1760030498 is assigned to MISS TANIYAMOL JOSEPH (NP) under the national enumeration system.
Is MISS TANIYAMOL JOSEPH (NP) active in the national directory?
MISS TANIYAMOL JOSEPH (NP)'s public NPI profile is in an active state.
What field does MISS TANIYAMOL JOSEPH (NP) work in?
You can think of MISS TANIYAMOL JOSEPH (NP) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MISS TANIYAMOL JOSEPH (NP)'s primary listing?
We display Des Plaines, Illinois because that is what the record indicates for MISS TANIYAMOL JOSEPH (NP).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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