Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Thomas Tackman, MD

Individual provider Internal Medicine Physician · NPI 1902802416

Dr. Thomas Tackman, MD is an Internal Medicine in Fort Atkinson, Wisconsin. Graduated from Medical College of Wisconsin in 1988, 38 years ago. Practices with Fort Healthcare Inc, a 162-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
38
Trained at
Medical College of Wisconsin
Licensed in
WI
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

611 Sherman Ave E
Fort Atkinson, WI 53538-1960
Phone: (920) 563-5571
Fax: (920) 563-7705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1461 W Main St, Whitewater, WI 53190-1568 — (262) 473-5888

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 30509 (WI)

Record details

NPI number1902802416
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2005
Last updated in NPPESDecember 17, 2025
Certification dateDecember 17, 2025
Mailing addressPo Box 249, Fort Atkinson, WI 53538-0249

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesGENERAL SURGERY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 1988 (38 years in practice)
Group practice Fort Healthcare Inc — 162 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Atkinson