Frederick S Tackey, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

0068055 Issued in FL

Practice address

2300 South Congress Avenue #101
Boynton Beach, FL 33426

Phone

(561) 374-8919

Fax

(561) 374-8911

NPI assigned

Nov 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Pulmonary DiseaseAlso: Critical Care (Intensivists)

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Genesis Critical Care Associates LLCGroup PAC ID 6608186317, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Delray Medical Center Hospital, Delray Beach, FL, CCN 100258
• Bethesda Hospital East Hospital, Boynton Beach, FL, CCN 100002
• Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168
• HCA Florida JFK Hospital Hospital, Atlantis, FL, CCN 100080

Merit-based Incentive Payment System (MIPS)

Final score

92.25 of 100Reported as group

Quality

85

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Genesis Critical Care Associates, LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Delray Beach, FL
  • NPI 1689055782
  Medicare reassignment Care Compare group NPD
• Pulmonology and Sleep Center LLC

  • Pulmonary Disease Physician
  • Boynton Beach, FL
  • NPI 1447266085

  Internal Medicine

  Medicare reassignment NPD Authorized official
• West Palm Beach Physician Group Inc

  • Hospitalist Physician
  • Boca Raton, FL
  • NPI 1235231465
  Medicare reassignment NPD

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

• Bethesda Hospital, Inc.

  • General Acute Care Hospital
  • Boynton Beach, FL
  • NPI 1417952748
  Care Compare affiliation
• Boca Raton Regional Hospital, Inc.

  • General Acute Care Hospital
  • Boca Raton, FL
  • NPI 1902826779
  Care Compare affiliation
• Delray Medical Center, Inc.

  • General Acute Care Hospital
  • Delray Beach, FL
  • NPI 1326078288
  Care Compare affiliation
• JFK Medical Center Limited Partnership

  • General Acute Care Hospital
  • Atlantis, FL
  • NPI 1326085424
  Care Compare affiliation

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283299200000",
    "number": "1689743445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334250550",
            "telephone_number": "561-374-8919",
            "fax_number": "561-374-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 SOUTH CONGRESS AVENUE #101",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33426",
            "telephone_number": "561-374-8919",
            "fax_number": "561-374-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACKEY",
        "first_name": "FREDERICK",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2010-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "0068055",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "0068055",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "0068055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377890800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Swistak, PA-C
• Heather Swogger, B.A
• Ali Gilani Syed, MD
• Synergy Dermatology LLC
• Amanda Szymanski, ARNP
• Farzad Tafazzoli, PHARM D
• Cynthia Tagliaferri, DNP, APRN-FNP
• Tailored Home Care Solutions
• Rettig W. Talbot, P.T.
• Talk 2 Me, L.L.C.

• Pulmonary Disease Physician in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Pulmonary Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.