MEDICARE: DR. THOMAS JAMES POLASCIK M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	98-01017	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	11593	OTHER	NC	BCBS

General Provider Information

NPI Number	:	1083798979
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS JAMES POLASCIK M.D.

Provider Business Mailing Address
First Line	:	PO BOX 2804 RM 1089
Second Line	:	DUKE SOUTH, DUKE UNIVERSITY MEDICAL CENTER
City	:	DURHAM
State	:	NC
Zip	:	27710-0001
Country	:	US
Telephone Number	:	919-684-4946
Fax Number	:	919-684-5220

Provider Business Practice Location Address
First Line	:	DUKE CANCER CENTER 5-1 UROLOGY
Second Line	:	DUKE CANCER CENTER, DUKE UNIVERSITY MEDICAL CENTER
City	:	DURHAM
State	:	NC
Zip	:	27710-0001
Country	:	US
Telephone Number	:	919-684-4946
Fax Number	:	919-684-5220

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	04/29/2026

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