NPIMap

Individual provider Active NPI

Kelci Florence Tkach, PA-C

  • Medical Physician Assistant
  • Lehighton, PA
National Provider Identifier
1538595541
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA056388 Issued in PA
Practice address
204 State Rd
Lehighton, PA 18235-2827
Phone
(610) 379-0443
Fax
(610) 379-4725
NPI assigned
Sep 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA056388 PA Primary

Addresses

Primary practice location

204 State Rd
Lehighton, PA 18235-2827

Mailing address

204 State Rd
Lehighton, PA 18235-2827
Phone (610) 379-0443

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131226000534 PA Practitioner - Physician Assistant 8224265061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Gastroenterology AssociatesGroup PAC ID 0547247447, 4 clinicians

Practice addresses (Care Compare)

204 State Rd
Lehighton, PA 18235-2827
Phone (610) 379-0443

400 S 9TH St
Lehighton, PA 18235-1812
Phone (610) 377-9680

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.28 of 100Reported as group
Quality
57.77
Improvement activities
40
Cost
70.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Schuylkill Endoscopy Center,Inc Current Accepting new patients

Locations

400 S 9th St
Lehighton, PA 18235
Phone (610) 377-9680

Interoperability endpoints

  • Direct secure messaging: ktkach@lehighgastroassociates.medentdirect.com

Organizations & group practices 2

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1538595541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 STATE RD",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182352827",
            "telephone_number": "610-379-0443",
            "fax_number": "610-379-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 STATE RD",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182352827",
            "telephone_number": "610-379-0443",
            "fax_number": "610-379-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TKACH",
        "first_name": "KELCI",
        "middle_name": "FLORENCE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-23",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA056388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehighton, PA

Sources for this page

Verify at the official NPI Registry.