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DR. TAKMAN ERIC MACK M.D.
NPI 1114082609
Radiology - Diagnostic Radiology in Gricignano Di Aversa, CE

Active since December 26, 2006PECOS Enrolled
U.S. NAVAL HOSPITAL, VIA CONTRADA BOSCARIELLO, GRICIGNANO DI AVERSA, CE 81030(081) 811-6000 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 10, 2023, Aug 30, 2022, May 10, 2022 and 1 more (4 updates tracked since 2022).

About Dr. Takman Eric Mack M.d. NPPES

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

DR. TAKMAN ERIC MACK M.D. (NPI 1114082609) is an individual diagnostic radiology provider in Gricignano Di Aversa, CE, licensed in California (C154255) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1114082609
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. TAKMAN ERIC MACKCredential: M.D.
Location AddressU.S. NAVAL HOSPITAL, VIA CONTRADA BOSCARIELLOGricignano Di Aversa, CE 81030
Mailing AddressPsc 808 Box 19Fpo, AE 09618-0001
Phone(081) 811-6000
Sole ProprietorNo
Enumeration DateDecember 26, 2006
Last NPPES UpdateAugust 10, 20234 updates tracked since enumeration
NPPES CertifiedAugust 10, 2023
✔ NPI 1114082609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in CA · C154255
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 01064080A (IN)
U.S. NAVAL HOSPITAL, Gricignano Di Aversa, CE 81030
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Secondary Practice Locations 2

Location 134800 Bob Wilson Dr, NAVAL MEDICAL CENTER SAN DIEGOSan Diego, CA 92134-1098 · Phone (619) 532-8666
Location 2200 W Arbor DrSan Diego, CA 92103-9000 · Phone (800) 926-8273 · Fax (888) 539-8781

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Takman Eric Mack 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.

Medicare Billing Reassignments

8

Medicare enrollment records show Takman Mack reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

San Diego Diagnostic Radiology Medical Group, Inc.
850 mi
Diagnostic Radiology
8745 AERO DR, SUITE 200
San Diego, CA 92123
  • Reassigned Medicare billing, California enrollment
  • 71 clinicians in this Medicare group
NPI 1629156583 (858) 565-0950
San Diego Imaging-Chula Vista LLC
850 mi
Radiology
765 MEDICAL CENTER COURT
Chula Vista, CA 91911
  • Reassigned Medicare billing, California enrollment
  • 51 clinicians in this Medicare group
NPI 1649207812 (619) 397-6577
Regents Of The University Of California
853 mi
Diagnostic Radiology
200 W ARBOR DR
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 360 clinicians in this Medicare group
NPI 1417050956 (800) 926-8273
Children's Hospital Los Angeles Medical Group, Inc.
871 mi
Multi-Specialty
4650 SUNSET BLVD
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Childrens Hospital Los Angeles Medical Group Inc
  • 1,281 clinicians in this Medicare group
NPI 1265530653 (323) 361-2337
Simedhealth LLC
1,342 mi
Internal Medicine
4343 W NEWBERRY RD
Gainesville, FL 32607
  • Reassigned Medicare billing, Florida enrollment
  • 141 clinicians in this Medicare group
NPI 1639680127 (352) 416-1100
Ohri, LLC
1,402 mi
Radiology
540 8TH ST S STE 1100
St Petersburg, FL 33701
  • Reassigned Medicare billing, Florida enrollment
  • 269 clinicians in this Medicare group
NPI 1205644259 (407) 331-9355
Orlando Health Medical Group Inc
1,436 mi
Internal Medicine
52 W UNDERWOOD ST
Orlando, FL 32806
  • Reassigned Medicare billing, Florida enrollment
  • 3,290 clinicians in this Medicare group
NPI 1669429577 (321) 841-2452
Zwanger & Pesiri Radiology Group, LLP
1,615 mi
Diagnostic Radiology
150 E SUNRISE HWY
Lindenhurst, NY 11757
  • Reassigned Medicare billing, California and New York enrollments
  • 20 clinicians in this Medicare group
NPI 1477523413 (631) 225-7200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81030 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
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.

DR. DANIEL JOHN ROBERSON MD
General Practice
U.S. NAVAL HOSPITAL, VIA CONTRADA BOSCARIELLO
GRICIGNANO DI AVERSA, CE 81030
Otero County (081) 811-6000
DR. WILLIAM HANNA GALLAGHER D.D.S.
Dentist (Endodontics)
U.S. NAVAL HOSPITAL, VIA CONTRADA BOSCARIELLO
GRICIGNANO DI AVERSA, CE 81030
Otero County (081) 811-6000
DR. SEAN MICHAEL BARANIAK M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
U.S. NAVAL HOSPITAL, VIA CONTRADA BOSCARIELLO
GRICIGNANO DI AVERSA, CE 81030
Otero County (081) 811-6000
BRENNDA ANN TSUHAKO DNP
Nurse Practitioner (Family)
U.S. NAVAL HOSPITAL, VIA CONTRADA BOSCARIELLO
GRICIGNANO DI AVERSA, CE 81030
Otero County No phone listed
DR. ALLENDE R ESQUIVEL DDS
Dentist
U.S. NAVAL HOSPITAL, VIA CONTRADA BOSCARIELLO
GRICIGNANO DI AVERSA, CE 81030
Otero County No phone listed
DR. REBECCA ANN FRAZER D.D.S.
Dentist (Pediatric Dentistry)
U.S. NAVAL HOSPITAL, VIA CONTRADA BOSCARIELLO
GRICIGNANO DI AVERSA, CE 81030
Otero County (081) 811-6000
HOLLY HARRIS BERKLEY
Obstetrics & Gynecology
U.S. NAVAL HOSPITAL, VIA CONTRADA BOSCARIELLO
GRICIGNANO DI AVERSA, CE 81030
Otero County (081) 811-6000
DR. TRACY A D'ANTONIO DDS, MS
Dentist (General Practice)
U.S. NAVAL HOSPITAL, VIA CONTRADA BOSCARIELLO
GRICIGNANO DI AVERSA, CE 81030
Otero County (081) 811-6000

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 Takman Mack's NPI number?

The NPI number for Takman Mack is 1114082609. It was assigned to this individual provider in the NPPES registry on December 26, 2006.

Where is Takman Mack located?

Takman Mack practices at U.S. Naval Hospital Via Contrada Boscariello, Gricignano Di Aversa, CE 81030. The listed phone number is (081) 811-6000.

What is Takman Mack's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Takman Mack enrolled in Medicare?

Yes. Takman Mack is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Takman Mack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Takman Mack reassigns Medicare benefits to 8 organizations: San Diego Diagnostic Radiology Medical Group, Inc. (San Diego, CA), San Diego Imaging-Chula Vista LLC (Chula Vista, CA), Regents Of The University Of California (San Diego, CA), Children's Hospital Los Angeles Medical Group, Inc. (Los Angeles, CA), Simedhealth LLC (Gainesville, FL) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Takman Mack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Takman Mack was last updated on August 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.