Doctor profile · Federal record

Dr. Mikaela Nikkola Jara-Tantoco, MD, MS

Internal Medicine Physician · Philadelphia, PA

  • NPI 1215667639
  • 4 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
5501 Old York RD
Philadelphia, PA 191413018
(215) 456-8520

Credentials & registration

NPPES · NUCC
NPI registered
June 2022 — 4 yrs on file
Specialty taxonomy
207R00000X — NUCC code
State license (1)
Pennsylvania #MT227056

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1215667639. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$86
Transactions
3
Manufacturers
2
Payer (manufacturer) Industry Txns Amount
Genentech USA, Inc. 2 $62.63
Salix Pharmaceuticals, a division of Bausch Health US, LLC 1 $23.67

By nature of payment

Food and Beverage
$86

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
111
Patients
28
Total drug cost
$11,890
Drug Type Claims Patients Total cost
Atorvastatin Calcium Generic 39 17 $418
Lisinopril Generic 20 0 $224
Eliquis (Apixaban) Brand 14 11 $10,398
Metoprolol Succinate Generic 14 0 $293
Albuterol Sulfate Hfa (Albuterol Sulfate) Brand 12 0 $420
Losartan Potassium Generic 12 0 $136

Frequently asked questions

Auto-generated from federal data
What is Dr. Mikaela Nikkola Jara-Tantoco's medical specialty?
Dr. Mikaela Nikkola Jara-Tantoco practices Internal Medicine Physician in Philadelphia, PA.
Where does Dr. Mikaela Nikkola Jara-Tantoco practice?
Dr. Mikaela Nikkola Jara-Tantoco practices at 5501 Old York RD, Philadelphia, PA 191413018. Office phone: 2154568520.
What is Dr. Mikaela Nikkola Jara-Tantoco's NPI?
Dr. Mikaela Nikkola Jara-Tantoco's National Provider Identifier (NPI) is 1215667639, issued by NPPES.