ROSS TANNEBAUM (MD) – Emergency Medicine Physician, NPI 1861492225
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for ROSS TANNEBAUM (MD)
Presence Saint Joseph Medical Center, 333, Madison Street, Joliet, Will County, Illinois, 60435, United States
JOLIET, IL 604358200
Phone: (815) 725-7133
Type: Location
PO BOX 2669
JOLIET, IL 604342669
Phone: (815) 726-6860
Type: Mailing
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: 2022-03-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080411000184 | I | Emergency Medicine | IL | TBD |
| I20220311000491 | I | Emergency Medicine | IN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 108 | 108 | $0 |
| 93042 | Electrocardiogram (ecg) 1 to 3 leads with review by physician only | 68 | 68 | $0 |
Insurance plans in this area (ZIP 60435)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| EMERGENCY MEDICINE | IL | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 33 | 32 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Emergency Medicine, Internal Medicine | IN | |
| - | IL | |
| Emergency Medicine | WI | |
| Emergency Medicine | IL | |
| Emergency Medicine | PA | |
| Emergency Medicine | CA | |
| Emergency Medicine | IL | |
| Nurse Practitioner | IL |
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