Jakica Tancabelic, M.D.

Primary specialty

Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X

License

04-32504 Issued in KS

Practice address

1414 SW 8TH Ave
Topeka, KS 66606-1535

Phone

(785) 354-5300

Fax

(785) 354-5309

NPI assigned

Jan 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Cotton-O'Neil Clinic Revocable Trust

  • Internal Medicine Physician
  • Topeka, KS
  • NPI 1811944457
  NPD (past)
• Indiana Hemophilia & Thrombosis Center, Inc.

  • Hematology & Oncology Physician
  • Indianapolis, IN
  • NPI 1659364800
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1164575601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 SW 8TH AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061535",
            "telephone_number": "785-354-5300",
            "fax_number": "785-354-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 SW 8TH AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061535",
            "telephone_number": "785-354-5300",
            "fax_number": "785-354-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANCABELIC",
        "first_name": "JAKICA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "IN",
            "license": "01061837A",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "KS",
            "license": "04-32504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200425220B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "KA2129019",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tallgrass Prairie Surgical Specialist PA
• Tallgrass Prairie Surgical Specialists PA
• Tallgrass Prairie Surgical Specialists, PA
• Tallgrass Surgical Center, LLC
• Auriel A Tan, MD
• Debra Lynn Tangari, RN
• Melissa M Tangeman, APRN
• Dan Tangpricha, DC
• Shakila Tanjim, MD
• Connor Tanking, MOT, OTR/L

• All providers in Topeka, KS
• Pediatric Hematology & Oncology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.