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GRACE A TACKIE MD
NPI 1154904803
Pediatrics in Bronx, NY

Active since April 30, 2021PECOS Enrolled
234 E 149TH ST FL 4, BRONX, NY 10451(718) 579-5800 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 12, 2024, Apr 30, 2021 (2 updates tracked since 2021).

About Grace A Tackie Md NPPES

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

GRACE A TACKIE MD (NPI 1154904803) is an individual pediatrics provider in Bronx, New York, licensed in New York (330740) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154904803
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameGRACE A TACKIECredential: MD
Location Address234 E 149TH ST FL 4Bronx, NY 10451-5504
Mailing Address234 E 149th St Fl 4Bronx, NY 10451-5504 · (718) 579-5800
Phone(718) 579-5800
Sole ProprietorNo
Enumeration DateApril 30, 2021
Last NPPES UpdateNovember 12, 20242 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
✔ NPI 1154904803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 330740
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
234 E 149TH ST FL 4, Bronx, NY 10451
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace A Tackie Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10451 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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 Grace Tackie's NPI number?

The NPI number for Grace Tackie is 1154904803. It was assigned to this individual provider in the NPPES registry on April 30, 2021.

Where is Grace Tackie located?

Grace Tackie practices at 234 E 149th St Fl 4, Bronx, NY 10451. The listed phone number is (718) 579-5800.

What is Grace Tackie's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Grace Tackie enrolled in Medicare?

Yes. Grace Tackie is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Grace Tackie was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.