Individual provider Active NPI

Thomas F. Ignaczak, M.D.

  • Internal Medicine Physician
  • Battle Creek, MI
National Provider Identifier
1053480947
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301035364 Issued in MI
Practice address
363 Fremont St Ste 203
Battle Creek, MI 49017-3398
Phone
(269) 969-6123
Fax
(269) 969-6122
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X TI035364 MI
Internal Medicine Physician 207R00000X 4301035364 MI Primary

Addresses

Primary practice location

363 Fremont St Ste 203
Battle Creek, MI 49017-3398

Mailing address

363 Fremont St Ste 203
Battle Creek, MI 49017-3398
Phone (269) 969-6123

Other practice location 1

3630 Capital Ave SW
Suite 2
Battle Creek, MI 49015-7376
Phone (269) 979-8333

Other identifiers 2

IdentifierTypeStateIssuer
1101301121OtherMIBCBS
3199719MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100722001000 MI Practitioner - RheumatologyPractitioner - Internal Medicine 9234128042 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TI035364MIMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dayone Family Healthcare PC CurrentSince Aug 1, 2017 Accepting new patients
Dayone City Care PastSince Aug 1, 2017 Accepting new patients
Michigan State University Kalamazoo Center for Medical Studies Past Accepting new patients

Locations

363 Fremont St
Ste 2
Battle Creek, MI 49017

363 Fremont St
Ste 203
Battle Creek, MI 49017
Phone (269) 969-6123

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ei-dayone

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1053480947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 FREMONT ST STE 203",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173398",
            "telephone_number": "269-969-6123",
            "fax_number": "269-969-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 FREMONT ST STE 203",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173398",
            "telephone_number": "269-969-6123",
            "fax_number": "269-969-6122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3630 Capital Ave SW",
            "address_2": "SUITE 2",
            "address_purpose": "LOCATION",
            "city": "Battle Creek",
            "state": "MI",
            "postal_code": "490157376",
            "country_code": "US",
            "telephone_number": "269-979-8333",
            "fax_number": "269-979-7766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IGNACZAK",
        "first_name": "THOMAS",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MI",
            "license": "TI035364",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301035364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1101301121",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3199719",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.