THERESA ANN TACY M.D.
NPI 1366478638
Pediatrics - Pediatric Cardiology in Palo Alto, CA

Q: What is Theresa Tacy's NPI number?

The NPI number for Theresa Tacy is 1366478638. It was assigned to this individual provider in the NPPES registry on June 25, 2006.

Q: What is Theresa Tacy's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Q: When was this NPI record last updated?

The NPPES record for Theresa Tacy was last updated on April 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 25, 2006PECOS EnrolledAccepts Medicare Assignment

725 WELCH RD, PALO ALTO, CA 94304(650) 497-8000 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Theresa Ann Tacy M.d. NPPES

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

THERESA ANN TACY M.D. (NPI 1366478638) is an individual pediatric cardiology provider in Palo Alto, California, licensed in California (C50143) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1366478638

Entity TypeIndividualFemale

Primary Taxonomy2080P0202X

Provider Legal NameTHERESA ANN TACYCredential: M.D.

Location Address725 WELCH RDPalo Alto, CA 94304-1601

Mailing Address725 Welch RdPalo Alto, CA 94304-1601 · (650) 497-8000

Phone(650) 497-8000

Sole ProprietorNo

Medical School CMSOtherGraduated 1987

Enumeration DateJune 25, 2006

Last NPPES UpdateApril 11, 2024

NPPES CertifiedApril 11, 2024

✔ NPI 1366478638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

License✔ Licensed in CA · C50143

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Also ListedPediatricsTaxonomy 208000000X · License C50143 (CA)

725 WELCH RD, Palo Alto, CA 94304

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Other Identifiers 1

Medicaid00C501430CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theresa Ann Tacy M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577508696

PECOS Enrollment IDI20050620001070

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.

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.

EIRI INENAGA MS, OTR/L

Occupational Therapist (Pediatrics)