Djerrick Cu Tan, M.D.
Diagnostic Radiology Physician · Mequon, WI
Djerrick Cu Tan, M.D. is a diagnostic radiology physician with a practice address in Mequon, Wisconsin, and NPI 1124002654, issued on Nov 29, 2005. Check the license (Wisconsin 47802, as entered in NPPES) on the Wisconsin Medical Examining Board; the Medicare figures below come from public CMS files.
- Name
- Djerrick Cu Tan
- Credential
- M.D.
- Primary taxonomy
- Diagnostic Radiology Physician 2085R0202X
- License numbers
- 47802 WI
1025471 MA
MD20361 RI
Self-reported in NPPES; status is on the state search - Practice location
- 10945 N Port Washington RD Ste 201, Mequon, WI 53092
- Phone
- (262) 292-3151
- Enumerated
- Nov 29, 2005
- Record last updated
- Feb 23, 2026
- Medicare enrollment
- Enrolled (PECOS I20050308001119); accepts Medicare assignment
- Medical or professional school
- Indiana University School Of Medicine, 1999
- Entity
- Type 1 · individual
8 nearest diagnostic radiology physician records → All 1,005 in Wisconsin → Look up another NPI →
Also registered at 10945 N Port Washington RD Ste 201
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Bradley Abramson, D.O.Body Imaging Physician1477756484
- James Aceto, M.D.Diagnostic Radiology Physician1609858158
- James Beres, M.D.Vascular & Interventional Radiology Physician1265414809
- Debra Berridge, M.D.Diagnostic Radiology Physician1194707968
- Brandon Bodager, M.D.Diagnostic Radiology Physician1811263304
- Joshua Bonis, MDDiagnostic Radiology Physician1225478159
Verify Djerrick Cu Tan in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWisconsin Medical Examining Board
Search for license 47802Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Premier Radiology Wisconsin LLCFranklin, WI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Djerrick Cu Tan among 1,005 diagnostic radiology physician records in Wisconsin
Djerrick Cu Tan, M.D. is one of 1,005 diagnostic radiology physician records with a practice address in Wisconsin. 68% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 90% newer
- In a Medicare fileYes · 68% of these records are
- In the CMS Doctors and Clinicians fileYes · 66% of these records are
- Graduated1999 · median 2006 among the 664 with a school on file
- Record last updated2026 · 51% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2085R0202X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
32 diagnostic radiology physician records list a practice address in Mequon
They are 32 of the 1,048 NPPES records with a practice address in Mequon, and 1,005 diagnostic radiology physician records in Wisconsin.
All 1,005 in Wisconsin → Every provider in Mequon → Diagnostic Radiology Physician nationwide →
The 8 diagnostic radiology physician records with the nearest ZIP codes
- James Aceto, M.D.Mequon, WI 530921609858158
- Anne Bartel, M.D.Mequon, WI 530921467443887
- Debra Berridge, M.D.Mequon, WI 530921194707968
- Benjamin Broghammer, M.D.Mequon, WI 530921154303824
- Prakash Chhabria, M.D.Mequon, WI 530921265416796
- Shobha Desai, M.D.Mequon, WI 530921255315784
- Eric Dorn, M.D.Mequon, WI 530921033192562
- Ramin Golchini, M.D.Mequon, WI 530921841273372
Common questions
What is Djerrick Cu Tan, M.D.'s NPI number?
Djerrick Cu Tan, M.D.'s National Provider Identifier (NPI) is 1124002654, issued on Nov 29, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Djerrick Cu Tan, M.D. located?
The NPPES record lists a practice address at 10945 N Port Washington RD Ste 201, Mequon, WI, 53092. Phone: (262) 292-3151. Providers update this record themselves, so call before visiting.
How can I verify Djerrick Cu Tan, M.D.'s license?
NPPES lists Wisconsin license number 47802, as entered by the provider. Search the Wisconsin Medical Examining Board at https://dsps.wi.gov/Pages/BoardsCouncils/MEB/Default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.