Nicholas Tzanetakos, MD
NPI 1720126535 · Family Medicine Physician · Montgomery, IL
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicholas Tzanetakos, MD is a Family Medicine Physician provider in Montgomery, IL (NPI 1720126535).
Provider details
- NPI number
- 1720126535
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036066510 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- 2007-02-02
- Last updated
- 2017-07-07
Frequently asked questions
- What is Nicholas Tzanetakos's NPI number?
- Nicholas Tzanetakos's National Provider Identifier (NPI) is 1720126535, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicholas Tzanetakos's specialty?
- Nicholas Tzanetakos is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Nicholas Tzanetakos located?
- Nicholas Tzanetakos's practice location on file with NPPES is 99 Boulder Hill Pass, Montgomery, IL 60538.
- What is Nicholas Tzanetakos's phone number?
- The practice phone number listed in the NPPES registry for Nicholas Tzanetakos is (630) 897-2848.
- Does Nicholas Tzanetakos accept Medicare?
- Nicholas Tzanetakos is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicholas Tzanetakos's NPI active?
- Yes — Nicholas Tzanetakos's NPI (1720126535) is active in the NPPES registry as of the last update on 2017-07-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.