Doctor profile · Federal record
Dr. Olivia Tack, M.D.
Pediatrics Physician · Granger, IN
- NPI 1255371514
- 20 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
6913 N Main St Ste 200
Granger, IN 465308039
(574) 647-4540
fax (574) 647-2567 - Mailing address
-
3245 Health Dr Ste 100
Granger, IN 465301380
Credentials & registration
- NPI registered
- June 2006 — 20 yrs on file
- Profile last updated
- November 24, 2025
- Specialty taxonomy
- 208000000X — NUCC code
- State license (1)
- Indiana #01062281A
- Medicaid
- IN #200828650
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1255371514. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$492
Transactions
23
Manufacturers
8
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Corium, LLC | 9 | $228.32 | |
| Merck Sharp & Dohme LLC | 6 | $98.36 | |
| IRONSHORE PHARMACEUTICALS INC. | 3 | $59.66 | |
| AstraZeneca Pharmaceuticals LP | 1 | $29.62 | |
| PFIZER INC. | 1 | $21.18 | |
| Tris Pharma Inc | 1 | $20.59 | |
| Supernus Pharmaceuticals, Inc. | 1 | $17.46 | |
| Seqirus USA Inc | 1 | $17.01 |
By nature of payment
Frequently asked questions
What is Dr. Olivia Tack's medical specialty?
Dr. Olivia Tack practices Pediatrics Physician in Granger, IN.
Where does Dr. Olivia Tack practice?
Dr. Olivia Tack practices at 6913 N Main St Ste 200, Granger, IN 465308039. Office phone: 5746474540.
What is Dr. Olivia Tack's NPI?
Dr. Olivia Tack's National Provider Identifier (NPI) is 1255371514, issued by NPPES.