John S Tkach, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

14538 Issued in NV

Practice address

2315 N 5TH St
Elko, NV 89801-4456

Phone

(775) 753-6400

Fax

(775) 753-3551

NPI assigned

Apr 13, 2006

Last updated

Apr 12, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Guiding Light Hospice

  • Community Based Hospice Care Agency
  • Elko, NV
  • NPI 1972043594

  Operational/Managerial Control

  CMS ownership

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

• John Tkach MD

  • Internal Medicine Physician
  • Calais, ME
  • NPI 1346309796
  NPD (past) Authorized official
• Guiding Light Hospice

  • Community Based Hospice Care Agency
  • Elko, NV
  • NPI 1972043594
  NPD
• Nevada Health Centers Inc.

  dba Nevada Health Centers Carson City School Based

  • Federally Qualified Health Center (FQHC)
  • Carson City, NV
  • NPI 1619348489
  NPD (past)
• New Horizon Home Care, LLC

  • Home Health Agency
  • Elko, NV
  • NPI 1093110637
  NPD (past)

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1063476422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 ROLLING HILLS DR",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898012446",
            "telephone_number": "775-388-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 N 5TH ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898014456",
            "telephone_number": "775-753-6400",
            "fax_number": "775-753-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TKACH",
        "first_name": "JOHN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "14538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063476422",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Thorn
• Reagen Marie Thorn
• Greg Thornton, M.ED., LADC
• Sharon Eileen Thrasher
• Gayl Sue Tieben
• Elizabeth Tom, MD
• Lacey Tom
• Richard Tran
• Sophia Trejo
• Sarah Troup

• Internal Medicine Physician in Elko, NV
• Providers in Elko, NV by specialty
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.