DR. THADDEUS MANCZKO M.D.
NPI 1073553004
Emergency Medicine - Emergency Medical Services in Kankakee, IL

Q: What is Thaddeus Manczko's NPI number?

The NPI number for Thaddeus Manczko is 1073553004. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Q: What is Thaddeus Manczko's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Q: When was this NPI record last updated?

The NPPES record for Thaddeus Manczko was last updated on June 3, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 07, 2006PECOS Enrolled

350 N WALL ST, KANKAKEE, IL 60901(815) 933-1671 Get Directions Write a Review

NPPES record last updated: June 3, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Thaddeus Manczko M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THADDEUS MANCZKO M.D. (NPI 1073553004) is an individual emergency medical services provider in Kankakee, Illinois, licensed in Illinois (036-100560) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073553004

Entity TypeIndividualMale

Primary Taxonomy207PE0004X

Provider Legal NameDR. THADDEUS MANCZKOCredential: M.D.

Location Address350 N WALL STKankakee, IL 60901-2901

Mailing Address2000 Green Rd, Suite 300Ann Arbor, MI 48105-1598 · (734) 995-3764

Phone(815) 933-1671

Sole ProprietorNo

Enumeration DateJune 7, 2006

Last NPPES UpdateJune 3, 2008

✔ NPI 1073553004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians

Taxonomy Code207PE0004X

License✔ Licensed in IL · 036-100560

Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

350 N WALL ST, Kankakee, IL 60901

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Other Identifiers 3

Medicaid036100560-7IL

Medicare UPINH03041IL

Medicare PINL89457IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thaddeus Manczko M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

43 services43 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

36 services36 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

28 services22 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

21 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ILLINOIS ANESTHESIA ASSOCIATES PC

Anesthesiology

350 N WALL ST
KANKAKEE, IL 60901

Kankakee County (815) 933-1671

STEVEN DECKER D.O.

Emergency Medicine

350 N WALL ST
KANKAKEE, IL 60901

Kankakee County (815) 933-1671

SEAN ATCHISON D.O.

Emergency Medicine

350 N WALL ST
KANKAKEE, IL 60901

Kankakee County (815) 933-1671

MS. REBECCA LENTZ SCHILTZ P.T.

Physical Therapist

350 N WALL ST, 5TH FLOOR REHAB SERVICES
KANKAKEE, IL 60901

Kankakee County (815) 935-7514

RIVERSIDE MEDICAL CENTER

Pharmacy (Home Infusion Therapy Pharmacy)

350 N WALL ST
KANKAKEE, IL 60901

Kankakee County (815) 933-1671

RIVERSIDE MEDICAL CENTER

General Acute Care Hospital

350 N WALL ST
KANKAKEE, IL 60901

Kankakee County (815) 935-7256

STEVEN G SCHAEFFER CRNA

Nurse Anesthetist, Certified Registered

350 N WALL ST
KANKAKEE, IL 60901

Kankakee County (800) 444-6110

MR. TODD W JOHNSON PT

Physical Therapist

350 N WALL ST
KANKAKEE, IL 60901

Kankakee County (815) 935-7514

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thaddeus Manczko's NPI number?

The NPI number for Thaddeus Manczko is 1073553004. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Thaddeus Manczko located?

Thaddeus Manczko practices at 350 N Wall St, Kankakee, IL 60901. The listed phone number is (815) 933-1671.

What is Thaddeus Manczko's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is Thaddeus Manczko enrolled in Medicare?

Yes. Thaddeus Manczko is registered in the Medicare PECOS enrollment system.

What insurance does Thaddeus Manczko accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit and 1 other insurer list Thaddeus Manczko as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thaddeus Manczko was last updated on June 3, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.