DJERRICK CU TAN (M.D.) – Diagnostic Radiology Physician, NPI 1124002654
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,897 DIAGNOSTIC RADIOLOGY in MA
Provider Addresses for DJERRICK CU TAN (M.D.)
211 Park St
Attleboro, MA 027033143
Phone: (508) 222-5200
Type: Location
450 Veterans Memorial Pkwy Bldg 2
East Providence, RI 029145300
Phone: (401) 435-3041
Fax: (401) 435-3042
Type: Location
10945 N PORT WASHINGTON RD STE 201
MEQUON, WI 530925078
Phone: (262) 292-3151
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: 2023-12-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20050308001119 | I | Diagnostic Radiology | WI | TBD |
| I20181109002547 | I | Diagnostic Radiology | TN | TBD |
| I20231218001154 | I | Diagnostic Radiology | IL | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 393 | 370 | $0 |
| 71250 | Ct scan of chest without contrast | 320 | 311 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 243 | 236 | $0 |
| 71260 | Ct scan of chest with contrast | 148 | 142 | $0 |
| 70450 | Ct scan head or brain without contrast | 146 | 145 | $0 |
Insurance plans in this area (ZIP 02703)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | WI | |
| Diagnostic Radiology | WI | |
| - | WI | |
| - | WI | |
| Diagnostic Radiology | WI | |
| Nuclear Medicine, Diagnostic Radiology | WI | |
| - | WI | |
| Diagnostic Radiology | WI | |
| Diagnostic Radiology | WI | |
| Interventional Radiology, Diagnostic Radiology | WI |
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