DR. DOUGLAS GREGORY TACKET D.O. NPI 1790764868

NPI Information

  • NPI: 1790764868
  • Provider Name: DR. DOUGLAS GREGORY TACKET, D.O.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4077 S CLEVELAND AVE
    SAINT JOSEPH, MI
    ZIP 49085
  • Phone: (269) 429-2992

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NPI Details

DR. Douglas Gregory Tacket, D.O. is a family medicine in Saint Joseph, MI with 36 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Douglas Gregory Tacket, D.O. NPI is 1790764868. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4077 S CLEVELAND AVE
SAINT JOSEPH, MI
ZIP 49085-513
Phone: (269) 429-2992

The NPI 1790764868 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Automated urinalysis test (HCPCS:81003)
  • Hemoglobin a1c level (HCPCS:83036)

The enumeration date for this NPI number is 1/17/2006 and was last updated on 2/22/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine02001246AINDIANANo
2207Q00000XFamily Medicine5101012140MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1114560327MEDICAIDMICHIGAN
20851101104OTHERBCBS
3236040362OTHERINDIANAMEDICARE PTAN
4300049695MEDICAIDINDIANA
5236040362OTHERMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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