DR. TANISHA KAMILLE MORTON (M.D.) – Pediatrics Physician, NPI 1013160779

DR. TANISHA KAMILLE MORTON (M.D.) is a healthcare provider. based in Dayton, Ohio. specializing in Pediatrics Physician. They hold the professional credentials M.D.. They hold a License No. 57-015030 (OH). The NPI Number for DR. TANISHA KAMILLE MORTON (M.D.) is 1013160779

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. TANISHA KAMILLE MORTON (M.D.)
NPI
1013160779
Phone
(937) 641-3433
Address
ONE CHILDREN'S PLAZA
Enumeration Date
28 October 2008
Last Update Date
29 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5094824402
Graduation Year
2008 (18 years ago)
PAC ID
8729232384
Group Practice PAC ID
9032022579
Professional Enrollment ID
I20161205001962

Contacts

SOAP Endpoint
https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:17State licenses:2Other namesUpdated within 12 months

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Provider Addresses for DR. TANISHA KAMILLE MORTON (M.D.)

  • Childrens Plaza, Dayton, Montgomery County, Ohio, 45404, United States

    DAYTON, OH 454241815

    Phone: (937) 641-3433

    Fax: (937) 641-5931

    Type: Location

  • 6002 N LIDGERWOOD ST

    SPOKANE, WA 992081124

    Phone: (509) 482-4402

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $55.

Total Amount is formed as General ($55) + Research ($0) + Ownership ($0) = $55.

Last reported payment date: 2024-05-22 • Largest payer in this snapshot: Medtronic, Inc. ($55).

Total Amount

$55

General + Research + Ownership

Payments

3

Total payment records

General Amount

$55

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$55
View all Open Payments →|Open Payments Risk Radar →

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: 2016-12-05

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
I20161205001962IPediatric MedicineWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45424)

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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: 9032022579View full group profile

Reviews

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Frequently asked questions

What is the registry number for DR. TANISHA KAMILLE MORTON (M.D.)?
The registry entry for DR. TANISHA KAMILLE MORTON (M.D.) shows NPI 1013160779.
Is DR. TANISHA KAMILLE MORTON (M.D.)'s NPI status active today?
Active status means DR. TANISHA KAMILLE MORTON (M.D.)'s NPI record is not deactivated in the public file.
What services align with DR. TANISHA KAMILLE MORTON (M.D.)'s listing?
DR. TANISHA KAMILLE MORTON (M.D.)'s public classification highlights Pediatrics Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. TANISHA KAMILLE MORTON (M.D.)?
DR. TANISHA KAMILLE MORTON (M.D.) is associated with Dayton, Ohio in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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