Doctor profile · Federal record
Dr. Nanaki Tisack
Pulmonary Disease Physician · Critical Care Medicine (Internal Medicine) Physician · Royal Oak, MI
- NPI 1124636378
- 6 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3535 W 13 Mile RD Ste 344
Royal Oak, MI 480736770
(248) 551-0497 - Mailing address
-
3601 W 13 Mile RD
Royal Oak, MI 480736712
Credentials & registration
- NPI registered
- July 2020 — 6 yrs on file
- Profile last updated
- May 21, 2025
- Specialty taxonomy
- 207RP1001X — NUCC code
- State license (1)
- Michigan #4351049150
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1124636378. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$370
Transactions
3
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| GENZYME CORPORATION | 2 | $245.00 | |
| Janssen Pharmaceuticals, Inc | 1 | $124.99 |
By nature of payment
Frequently asked questions
What is Dr. Nanaki Tisack's medical specialty?
Dr. Nanaki Tisack practices Pulmonary Disease Physician in Royal Oak, MI.
Where does Dr. Nanaki Tisack practice?
Dr. Nanaki Tisack practices at 3535 W 13 Mile RD Ste 344, Royal Oak, MI 480736770. Office phone: 2485510497.
What is Dr. Nanaki Tisack's NPI?
Dr. Nanaki Tisack's National Provider Identifier (NPI) is 1124636378, issued by NPPES.