EVAN TKACZYK PA-C
NPI 1790305704
Physician Assistant - Medical in Chicago, IL

Q: What is Evan Tkaczyk's NPI number?

The NPI number for Evan Tkaczyk is 1790305704. It was assigned to this individual provider in the NPPES registry on April 20, 2020.

Q: What is Evan Tkaczyk's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Evan Tkaczyk was last updated on January 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 April 20, 2020PECOS Enrolled

100/100

CMS Quality Rating

2322 W PETERSON AVE., CHICAGO, IL 60659(800) 325-1812 Get Directions Write a Review

NPPES record last updated: January 31, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 31, 2021, Apr 20, 2020 (2 updates tracked since 2020).

On this page

About Evan Tkaczyk Pa-c NPPES

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

EVAN TKACZYK PA-C (NPI 1790305704) is an individual medical provider in Chicago, Illinois and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790305704

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameEVAN TKACZYKCredential: PA-C

Location Address2322 W PETERSON AVE.Chicago, IL 60659-3120

Mailing Address87 S 2nd AveLombard, IL 60148 · (630) 408-6687

Phone(800) 325-1812

Sole ProprietorYes

Enumeration DateApril 20, 2020

Last NPPES UpdateJanuary 31, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 31, 2021

✔ NPI 1790305704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

2322 W PETERSON AVE., Chicago, IL 60659

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evan Tkaczyk Pa-c 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 2

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 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.

104 services103 patients

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.

55 services54 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

94.69

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 Evan Tkaczyk's NPI number?

The NPI number for Evan Tkaczyk is 1790305704. It was assigned to this individual provider in the NPPES registry on April 20, 2020.

Where is Evan Tkaczyk located?

Evan Tkaczyk practices at 2322 W Peterson Ave., Chicago, IL 60659. The listed phone number is (800) 325-1812.

What is Evan Tkaczyk's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Evan Tkaczyk enrolled in Medicare?

Yes. Evan Tkaczyk is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Evan Tkaczyk was last updated on January 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.