TAHA JAMIL (M.D.) – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1609812569

TAHA JAMIL (M.D.) is a healthcare provider. based in Appleton, Wisconsin. specializing in PHYSICAL MEDICINE AND REHABILITATION, SPORTS MEDICINE. They hold the professional credentials M.D.. They hold a License No. 52090-020 (WI). The NPI Number for TAHA JAMIL (M.D.) is 1609812569

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
TAHA JAMIL (M.D.)
NPI
1609812569
Phone
(920) 733-1786
Address
4916 N WATERFORD DR
Enumeration Date
21 June 2006
Last Update Date
9 November 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8106067181
Graduation Year
2001 (25 years ago)
PAC ID
0345248324
Group Practice PAC ID
2860484888
Professional Enrollment ID
I20130924000343
Address ID
MI484398067GR4632XPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness75
Years active:19State licenses:3Digital endpointsOther names

256 PHYSICAL MEDICINE AND REHABILITATION in WI

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Provider Addresses for TAHA JAMIL (M.D.)

  • 4916, North Waterford Drive, Appleton, Outagamie County, Wisconsin, 54913, United States

    APPLETON, WI 549136608

    Phone: (920) 733-1786

    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)

CMS reports 12 Open Payments records for all available years, with a total value of $268.

Total Amount is formed as General ($268) + Research ($0) + Ownership ($0) = $268.

Last reported payment date: 2024-09-09 • Largest payer in this snapshot: ABBVIE INC. ($103).

Total Amount

$268

General + Research + Ownership

Payments

12

Total payment records

General Amount

$268

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-09

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2013-09-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20080927000112IPhysical Medicine And RehabilitationWITBD
I20130924000343IPhysical Medicine And RehabilitationMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes306115$0
J1030Injection, methylprednisolone acetate, 40 mg23517$0
99213Established patient office or other outpatient visit, 20-29 minutes9348$0
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level7449$0
99204New patient office or other outpatient visit, 45-59 minutes6464$0
View full utilization report →

Insurance plans in this area (ZIP 54913)

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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: 2860484888View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationMI
Physical Medicine And RehabilitationMI
Nurse PractitionerMI
Physical Medicine And RehabilitationMI
-MI
Nurse PractitionerMI

Reviews

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Frequently asked questions

What identifier follows TAHA JAMIL (M.D.) across health systems?
The NPI 1609812569 uniquely identifies TAHA JAMIL (M.D.) in U.S. healthcare data.
Is TAHA JAMIL (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists TAHA JAMIL (M.D.) as active.
What services align with TAHA JAMIL (M.D.)'s listing?
TAHA JAMIL (M.D.)'s public classification highlights Pain Medicine (Physical Medicine & Rehabilitation) Physician. Clinical services aligned with this taxonomy classification.
Can patients visit TAHA JAMIL (M.D.) in Appleton, Wisconsin?
For routing, start with Appleton, Wisconsin for TAHA JAMIL (M.D.), then verify phone and hours locally.
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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