IWAN T TJAUW (MD) – Neuroradiology Physician, NPI 1730154170

IWAN T TJAUW (MD) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 24754 (OK). The NPI Number for IWAN T TJAUW (MD) is 1730154170

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
IWAN T TJAUW (MD)
NPI
1730154170
Phone
(405) 945-4741
Address
3433 NW 54TH ST
Enumeration Date
21 February 2006
Last Update Date
15 July 2021

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
4056573000
Graduation Year
1993 (33 years ago)
PAC ID
4486631538
Group Practice PAC ID
4082692496
Professional Enrollment ID
I20060120000207
Address ID
OK730348864ED4801XPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

384 DIAGNOSTIC RADIOLOGY in OK

Provider Addresses for IWAN T TJAUW (MD)

  • 3433 NW 54TH ST

    SUITE C-40

    OKLAHOMA CITY, OK 731124455

    Phone: (405) 945-4741

    Fax: (888) 972-5320

    Type: Location

  • 3330, Northwest 56th Street, Oklahoma City, Oklahoma County, Oklahoma, 73112, United States

    SUITE 206

    OKLAHOMA CITY, OK 731124479

    Phone: (405) 945-4740

    Fax: (405) 945-4751

    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: 2006-01-20

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
I20060120000207IDiagnostic RadiologyOKTBD

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
71045X-ray of chest, 1 view993829$0
70450Ct scan head or brain without contrast602522$0
78815Nuclear medicine study from skull base to mid-thigh with ct scan211199$0
70551Mri scan of brain without contrast163162$0
74177Ct scan of abdomen and pelvis with contrast161155$0
View full utilization report →

Insurance plans in this area (ZIP 73112)

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Provider's Procedures

IWAN T TJAUW (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYOK71010X-ray of chest, 1 view, front17821370
DIAGNOSTIC RADIOLOGYOK73630X-ray of foot, minimum of 3 views4843
DIAGNOSTIC RADIOLOGYOK74177CT scan of abdomen and pelvis with contrast165158
DIAGNOSTIC RADIOLOGYOK78815Nuclear medicine study with CT imaging skull base to mid-thigh173162
DIAGNOSTIC RADIOLOGYOK93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers9996

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: 4082692496View full group profile
NameSpecialtyState
Diagnostic RadiologyOK
Diagnostic RadiologyOK
Diagnostic RadiologyOK
Diagnostic RadiologyTX
Diagnostic RadiologyOK
Diagnostic RadiologyOK
Interventional RadiologyTN
Diagnostic RadiologyOK
Diagnostic RadiologyOK
Diagnostic RadiologyTN

Reviews

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Frequently asked questions

How do payers reference IWAN T TJAUW (MD)?
For IWAN T TJAUW (MD), use NPI 1730154170 as the unique 10-digit identifier.
Active or inactive — what applies to IWAN T TJAUW (MD)?
You should see IWAN T TJAUW (MD) as active in CMS-hosted NPPES data.
What expertise is attributed to IWAN T TJAUW (MD)?
IWAN T TJAUW (MD)'s specialty line reads Neuroradiology Physician. Clinical services aligned with this taxonomy classification.
Is IWAN T TJAUW (MD) located near Oklahoma City?
IWAN T TJAUW (MD) currently maps to Oklahoma City, Oklahoma in this extract.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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