ELLEN DZIERZAK TAMBOLI – Physical Medicine & Rehabilitation Physician, NPI 1629607494
Physical Medicine & Rehabilitation Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
305 PHYSICAL MEDICINE AND REHABILITATION in MN
Provider Addresses for ELLEN DZIERZAK TAMBOLI
420 DELAWARE ST SE
MINNEAPOLIS, MN 554550341
Phone:
Type: Mailing
703 N FLAMINGO RD
PEMBROKE PINES, FL 330281006
Phone:
Type: Mailing
1611 NW 12TH AVE
MIAMI, FL 331361005
Phone: (305) 243-6605
Fax: (305) 243-4650
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $1,231.
Total Amount is formed as General ($1,231) + Research ($0) + Ownership ($0) = $1,231.
Last reported payment date: 2024-11-16 • Largest payer in this snapshot: Medtronic, Inc. ($1,146).
Total Amount
$1,231
General + Research + Ownership
Payments
25
Total payment records
General Amount
$1,231
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,146 |
| ABBVIE INC. | $86 |
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: 2026-02-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20260213001977 | I | Physical Medicine And Rehabilitation | FL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55455)
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