DJERRICK CU TAN M.D. NPI 1124002654

NPI Information

  • NPI: 1124002654
  • Provider Name: DJERRICK CU TAN, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10945 N PORT WASHINGTON RD STE 201
    MEQUON, WI
    ZIP 53092
  • Phone: (262) 292-3151

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NPI Details

Djerrick Cu Tan, M.D. is a diagnostic radiology radiology in Mequon, WI with 27 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Djerrick Cu Tan, M.D. NPI is 1124002654. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1999

The provider's business location address is:

10945 N PORT WASHINGTON RD STE 201
MEQUON, WI
ZIP 53092-078
Phone: (262) 292-3151

The NPI 1124002654 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • 3d radiographic procedure (HCPCS:76376)
  • Mri scan of pelvis before and after contrast (HCPCS:72197)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • Ct scan of leg without contrast (HCPCS:73700)
  • Imaging for evaluation of swallowing function (HCPCS:74230)
  • X-ray of hip, 1 view (HCPCS:73501)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Ct scan of face without contrast (HCPCS:70486)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Limited ultrasound scan of abdomen (HCPCS:76705)

The enumeration date for this NPI number is 11/29/2005 and was last updated on 12/24/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyMD20361RHODE ISLANDNo
22085R0202XRadiologyDiagnostic Radiology47802WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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