JONATHAN TICKU M.D. – NPI #1922259589
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

JONATHAN TICKU is a physician located in LA CROSSE, WI. NPPES has assigned the NPI number 1922259589 to JONATHAN TICKU on October 01, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was previously updated about 5 years ago on Oct 27, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JONATHAN TICKU below.

NPI Profile for
JONATHAN TICKU

NPI Number
1922259589
Enumeration Date

(more than 17 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JONATHAN TICKU
Credentials
M.D.
Primary location
800 WEST AVE S
LA CROSSE, WI 54601
Phone: (608) 785-0940 Fax:
1 Other location(s):
7350 Sandlake Commons Blvd
suite 1102
Orlando, FL 32819-8040
Phone: (321) 843-5500
Fax: (321) 843-5550
Mailing address
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone: (608) 785-0940 Fax:
Sole Proprietor
No
Updated
Certification Date
Oct 27, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)
WI 61177
207R00000X
- Internal Medicine
FL ME105784

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
800 WEST AVE S,
LA CROSSE, WI 77025-1669

Additional Information

Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JONATHAN TICKU is affiliated with the following medical group(s):
  • HOSPITAL
    • MAYO CLINIC HEALTH SYSTEM-FRANCISCAN MEDICAL CENTER INC
      700 WEST AVENUE SOUTH
      LA CROSSE, WI 54601
    • MAYO CLINIC HLTH SYSTM FRANCISCAN HLTHCARE SPARTA
      310 W MAIN ST
      SPARTA, WI 54656
    • TOMAH MEMORIAL HOSPITAL
      501 GOPHER DR
      TOMAH, WI 54660
    • VETERANS MEMORIAL HOSPITAL
      40 1ST STREET SE
      WAUKON, IA 52172
    • WINNESHIEK MEDICAL CENTER
      901 MONTGOMERY STREET
      DECORAH, IA 52101

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