Active NPI
Mateusz Tkacz, MD
- Pulmonary Disease Physician
- Chapel Hill, NC
National Provider Identifier
1033799713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 2025-01748
- Practice address
- CB# 7020, 130 Mason Farm Road
4TH Floor Bioinformatics Building
Chapel Hill, NC 27599-7020 - Phone
- (919) 966-2531
- NPI assigned
- Apr 8, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 2025-01748 | NC | |
| Hospitalist Physician | 208M00000X | 036170685 | IL | |
| Pulmonary Disease Physician | 207RP1001X | 2025-01748 | NC | Primary |
Addresses
Primary practice location
CB# 7020, 130 Mason Farm Road
4TH Floor Bioinformatics Building
Chapel Hill, NC 27599-7020
Mailing address
CB# 7020, 130 Mason Farm Road
4TH Floor Bioinformatics Building
Chapel Hill, NC 27599-7020
Phone (919) 966-2531
Other practice location 1
600 S Paulina St Ste 403
Chicago, IL 60612-3806
Phone (312) 942-7100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210825003731 | IL | Order and Referring Only - Internal Medicine | 1557766706 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750118400000",
"number": "1033799713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CB# 7020, 130 MASON FARM ROAD",
"address_2": "4TH FLOOR BIOINFORMATICS BUILDING",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275997020",
"telephone_number": "919-966-2531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CB# 7020, 130 MASON FARM ROAD",
"address_2": "4TH FLOOR BIOINFORMATICS BUILDING",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275997020",
"telephone_number": "919-966-2531"
}
],
"practiceLocations": [
{
"address_1": "600 S Paulina St Ste 403",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606123806",
"country_code": "US",
"telephone_number": "312-942-7100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TKACZ",
"first_name": "MATEUSZ",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-08",
"last_updated": "2025-06-17",
"certification_date": "2025-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NC",
"license": "2025-01748",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036170685",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NC",
"license": "2025-01748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.