JULIE L TISHLER (M.D.) – Internal Medicine Physician, NPI 1093755530

JULIE L TISHLER (M.D.) is a healthcare provider. based in Roxbury, Massachusetts. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 154585 (MA). The NPI Number for JULIE L TISHLER (M.D.) is 1093755530

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
JULIE L TISHLER (M.D.)
NPI
1093755530
Phone
(617) 442-8800
Address
55 DIMOCK ST
Enumeration Date
6 June 2006
Last Update Date
6 November 2007

Doctor Profile

Medical School Name
UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Secondary Phone
6176365000
Graduation Year
1995 (31 years ago)
PAC ID
4284522293
Group Practice PAC ID
3375515661
Professional Enrollment ID
I20040310000126
Address ID
MA021111552BO800XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

7,722 INTERNAL MEDICINE in MA

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Provider Addresses for JULIE L TISHLER (M.D.)

  • Mary Eliza Mahoney House Family Shelter, 55, Dimock Street, Roxbury, Boston, Suffolk County, Massachusetts, 02130-0947, United States

    ROXBURY, MA 021191029

    Phone: (617) 442-8800

    Mailing address matches the actual address.

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: 2004-03-10

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
I20040310000126IInternal MedicineMATBD

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
99215Established patient office or other outpatient visit, 40-54 minutes6450$0
99214Established patient office or other outpatient visit, 30-39 minutes5850$0
99213Established patient office or other outpatient visit, 20-29 minutes5448$0
View full utilization report →

Insurance plans in this area (ZIP 02119)

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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: 3375515661View full group profile
NameSpecialtyState
Internal MedicineMA
E N D O C R I N O L O G YMA
Nurse PractitionerVA
Internal MedicineMA
Internal MedicineMA
-MA
Internal Medicine, Hematology/OncologyMA
Internal MedicineMA
Internal MedicineMA
Internal Medicine, NephrologyMA

Reviews

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Frequently asked questions

What is the 10-digit NPI for JULIE L TISHLER (M.D.)?
JULIE L TISHLER (M.D.) — NPI 1093755530 — is the standard way to identify this listing.
Does CMS list JULIE L TISHLER (M.D.) as active?
Yes — JULIE L TISHLER (M.D.) is active in the NPI listing used on this page.
What healthcare role does JULIE L TISHLER (M.D.) hold?
Scheduling teams often label JULIE L TISHLER (M.D.) under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does JULIE L TISHLER (M.D.) list a practice location?
Patients near Roxbury, Massachusetts may find JULIE L TISHLER (M.D.) in results; validate coverage separately.
Why does JULIE L TISHLER (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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