Jackson Tate
NPI 1164207031 · Orthopaedic Surgery Physician · Maywood, IL
Enrolled with Medicare as Order and Referring Only - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jackson Tate is a Orthopaedic Surgery Physician provider in Maywood, IL (NPI 1164207031).
Provider details
- NPI number
- 1164207031
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- 125.085170 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-08-29
- Last updated
- 2025-04-09
- Certified
- 2025-04-09
Frequently asked questions
- What is Jackson Tate's NPI number?
- Jackson Tate's National Provider Identifier (NPI) is 1164207031, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackson Tate's specialty?
- Jackson Tate is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Jackson Tate located?
- Jackson Tate's practice location on file with NPPES is 2160 S 1st Ave, Maywood, IL 60153-3328.
- What is Jackson Tate's phone number?
- The practice phone number listed in the NPPES registry for Jackson Tate is (888) 584-7888.
- Does Jackson Tate accept Medicare?
- Jackson Tate is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jackson Tate's NPI active?
- Yes — Jackson Tate's NPI (1164207031) is active in the NPPES registry as of the last update on 2025-04-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.