Djerrick Cu Tan, MD
Djerrick Cu Tan, MD is a Diagnostic Radiology in Mequon, Wisconsin. Graduated from Indiana University School of Medicine in 1999, 27 years ago. Practices with Premier Radiology Wisconsin LLC, a 111-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Massachusetts, Rhode Island and Wisconsin.
- Years since qualifying
- 27
- Trained at
- Indiana University School of Medicine
- Licensed in
- MA, RI, WI
- In the registry since
- 2005
- Specialties on file
- 3
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
10945 N Port Washington Rd Ste 201Mequon, WI 53092-5078
Phone: (262) 292-3151
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 211 Park St, Attleboro, MA 02703-3143 — (508) 222-5200
- 450 Veterans Memorial Pkwy Bldg 2, East Providence, RI 02914-5300 — (401) 435-3041
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X · Licence 47802 (WI) |
|---|---|
| Diagnostic Radiology Physician | Taxonomy 2085R0202X · Licence 1025471 (MA) |
| Diagnostic Radiology Physician | Taxonomy 2085R0202X · Licence MD20361 (RI) |
Record details
| NPI number | 1124002654 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | November 29, 2005 |
| Last updated in NPPES | February 23, 2026 |
| Certification date | February 23, 2026 |
Medicare enrollment
| Medicare specialty | DIAGNOSTIC RADIOLOGY |
|---|---|
| Medical school | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 1999 (27 years in practice) |
| Group practice | Premier Radiology Wisconsin Llc — 111 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 20 on file with Medicare |
Other providers in Mequon
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Cynthia Rice, MD
10945 N Port Washington Rd Ste 201, Mequon, WI 53092-5078 · (414) 434-0461
-
Richard Rozran, MD
10945 N Port Washington Rd Ste 201, Mequon, WI 53092-5078 · (414) 434-0461
-
Dr. Kevin P Rudny, MD
10945 N Port Washington Rd Ste 201, Mequon, WI 53092-5078 · (262) 292-3151
-
Dr. Carla Jean Shah, MD
10945 N Port Washington Rd Ste 201, Mequon, WI 53092-5078 · (262) 292-3151
-
John Tomashek, MD
10945 N Port Washington Rd Ste 201, Mequon, WI 53092-5078 · (262) 292-3151
-
Dr. Marie Kristin Troy, MD
10945 N Port Washington Rd Ste 201, Mequon, WI 53092-5078 · (414) 434-0461
-
Dr. Nicole Georgann Viccari, MD
10945 N Port Washington Rd Ste 201, Mequon, WI 53092-5078 · (262) 292-3151
-
Sanjeevi Vridhachalam, MD
10945 N Port Washington Rd Ste 201, Mequon, WI 53092-5078 · (262) 292-3151