Michelle L. Tautkus, P.A.-C
NPI 1053319038ActiveIndividual· Physician Assistant· Warwick, RI
Physician Assistant (P.A.-C) with Beth Israel Lahey Health Primary Care, Inc, practicing in Warwick, Rhode Island. Mostly services rather than prescriptions: Medicare paid $5,329 for 55 patients in 2024, with only 12 Part D claims. Lists Lahey Hospital & Medical Center, Burlington and 1 other hospital as hospital affiliations.
Overview
| NPI | 1053319038 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A.-C |
| Sole proprietor | No |
| NPI issued | Jul 13, 2005 |
| Last updated in NPPES | Feb 21, 2023 |
| Certified by provider | Feb 21, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA1856 | MA |
| Physician Assistant | 363A00000X | 1856 | MA |
| Physician Assistant, Medical | 363AM0700X | PA00464 | RI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 55 |
|---|---|
| Services billed | 77 across 11 procedure codes |
| Paid by Medicare | $5,329 |
Part D prescriptions in 2024
| Prescriptions (claims) | 12 · 12 30-day fills |
|---|---|
| Total drug cost | $234.21 |
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Beth Israel Lahey Health Primary Care, IncSouth Hamilton, MA · 353 clinicians
Hospital affiliations
- Lahey Hospital & Medical Center, BurlingtonBurlington, MA
- Northeast Hospital CorporationBeverly, MA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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