Individual provider Active NPI

Marko Stephen Tkach, DO

  • Endocrinology, Diabetes & Metabolism Physician
  • Fall River, MA
National Provider Identifier
1386252310
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
1024986 Issued in MA
Practice address
277 Pleasant St Ste 202
Fall River, MA 02721-3005
Phone
(508) 235-0481
Fax
(508) 235-1034
NPI assigned
Jul 15, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 1024986 MA Primary

Addresses

Primary practice location

277 Pleasant St Ste 202
Fall River, MA 02721-3005

Mailing address

277 Pleasant St Ste 202
Fall River, MA 02721-3005
Phone (508) 235-0481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250807002480 RI Practitioner - Internal MedicinePractitioner - Endocrinology 7416368568 Reassigns benefits to 1 organization
I20251027000235 MA Practitioner - Endocrinology 7416368568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Lake Erie Col of Osteo Med at Seton Hill Univ, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prima Care, PCGroup PAC ID 2567356017, 222 clinicians

Practice addresses (Care Compare)

277 Pleasant St
Fall River, MA 02721-3005
Phone (508) 676-3292

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1024986MAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prima Care, PC CurrentSince Dec 1, 2025 Accepting new patients
Prima Care, PC CurrentSince Dec 1, 2025 Accepting new patients
Prospect Chartercare Physicians, LLC Internal Medicine CurrentSince Jul 14, 2025 Accepting new patients

Locations

277 Pleasant St
Fall River, MA 02721
Phone (508) 617-9740

277 Pleasant St
Fl 4
Fall River, MA 02721
Phone 50867632921244

277 Pleasant St
Ste 202
Fall River, MA 02721
Phone (508) 235-0481

67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400

1681 Cranston St
Cranston, RI 02920
Phone (401) 944-6889

1 Office Pkwy
East Providence, RI 02914
Phone (401) 270-7110

825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1386252310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 PLEASANT ST STE 202",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213005",
            "telephone_number": "508-235-0481",
            "fax_number": "508-235-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 PLEASANT ST STE 202",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213005",
            "telephone_number": "508-235-0481",
            "fax_number": "508-235-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TKACH",
        "first_name": "MARKO",
        "middle_name": "STEPHEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-15",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MA",
            "license": "1024986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.