Ryan Bernard Mitacek, MD
NPI 1639674211ActiveIndividual· Pediatrics, Pediatric Rheumatology· Chicago, IL
Pediatrics, Pediatric Rheumatology (MD) with University Pediatricians, practicing in Chicago, Illinois. Enrolled in Medicare as practitioner - pediatric medicine and practitioner - pediatric medicine.
Overview
| NPI | 1639674211 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Mar 27, 2018 |
| Last updated in NPPES | Apr 12, 2024 |
| Certified by provider | Apr 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics, Pediatric Rheumatology Primary | 2080P0216X | 036.155959 | IL |
| Pediatrics | 208000000X | 4301511663 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pediatric Medicine (IL); Practitioner - Pediatric Medicine (MI) |
|---|
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Pediatric Medicine |
Medical group
- University PediatriciansDetroit, MI · 121 clinicians
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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