Olivia Tack, M.D.
Pediatrics Physician · Granger, IN
Olivia Tack, M.D. is a pediatrics physician with a practice address in Granger, Indiana, and NPI 1255371514, issued on Jun 7, 2006. Check the license (Indiana 01062281A, as entered in NPPES) on the Medical Licensing Board of Indiana; the Medicare figures below come from public CMS files.
- Name
- Olivia Tack
- Credential
- M.D.
- Primary taxonomy
- Pediatrics Physician 208000000X
- License number
- 01062281A IN
Self-reported in NPPES; status is on the state search - Practice location
- 6913 N Main St Ste 200, Granger, IN 46530
- Phone
- (574) 647-4540
- Enumerated
- Jun 7, 2006
- Entity
- Type 1 · individual
Also registered at 6913 N Main St Ste 200
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Sherri Biever, FNPFamily Nurse Practitioner1982691747
- Shanna Kautzmann, M.D.Pediatrics Physician1134214240
- Madison Parker, NPFamily Nurse Practitioner1407580533
- Nancy Pudlo, MDPediatrics Physician1467610352
Verify Olivia Tack in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Licensing Board of Indiana
Search for license 01062281ACheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS, AOA, NCCPA, AANPNot checked
Industry payments in 2024: $492.20
23 payments, mostly food and beverage; the largest payer was Corium, LLC. The 23,406 providers of this specialty with any payment received $1,203.67 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
10 pediatrics physician records list a Granger practice address
They are 10 of the 395 NPPES records with a Granger practice address, and 1,223 pediatrics physician records in Indiana.
All 10 in Granger → All 1,223 in Indiana → Every provider in Granger →
Other pediatrics physician records in Indiana
- Deborah Abaitey, MDFort Wayne, IN1134555634
- Nadeem Abbasi, MDIndianapolis, IN1194986489
- Sadia Abbasi, MDAnderson, IN1740570423
- Audrey Abell, M.D.Plainfield, IN1457346579
- Tanya Abraham, M.D.Indianapolis, IN1629210315
- Majdi Abu-Salih, MDIndianapolis, IN1356359905
- Noemi Adame, MDCulver, IN1730274556
- Christine Adams, M.D.Indianapolis, IN1619155728
- Mark Adams, MDFort Wayne, IN1558312611
- Matthew AdamsIndianapolis, IN1568826287
Common questions
What is Olivia Tack, M.D.'s NPI number?
Olivia Tack, M.D.'s National Provider Identifier (NPI) is 1255371514, issued on Jun 7, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Olivia Tack, M.D. located?
The NPPES record lists a practice address at 6913 N Main St Ste 200, Granger, IN, 46530. Phone: (574) 647-4540. Providers update this record themselves, so call before visiting.
How can I verify Olivia Tack, M.D.'s license?
NPPES lists Indiana license number 01062281A, as entered by the provider. Search the Medical Licensing Board of Indiana at https://www.in.gov/pla/professions/physicians-home/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), loaded Aug 27, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 27, 2026.