Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ilana Tidus, DO

Individual provider Emergency Medicine Physician · NPI 1447831623

Ilana Tidus, DO is an Emergency Medicine in Pontiac, Michigan. Graduated from At Still Un of Hlth Sciences, Col of Osteo Med, Mesa in 2021, 5 years ago. Practices with Emergency Professional Services PC, a 107-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
5
Trained at
At Still Un of Hlth Sciences, Col of Osteo Med, Mesa
Licensed in
AZ
In the registry since
2021
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

50 N Perry St
Pontiac, MI 48342-2217
Phone: (248) 338-5392
Fax: (248) 338-5567
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 011226 (AZ)

Record details

NPI number1447831623
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 19, 2021
Last updated in NPPESAugust 12, 2024
Certification dateAugust 12, 2024
Mailing address50 N Perry St, Pontiac, MI 48342-2217

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolAT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduated 2021 (5 years in practice)
Group practice Emergency Professional Services Pc — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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