Tarik Z Ali, M.D.
Individual provider Active NPI Vascular Surgery Physician · Hershey, PA
NPI 1003172867 · NPPES record last updated Jul 17, 2020
Key facts
- NPI
- 1003172867
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular Surgery Physician 2086S0129X
- License
- MD470949 (PA)
- Practice address
- 500 University Drive
Hershey, PA 17033-0858 - Phone
- (800) 243-1455
- NPI assigned
- Apr 5, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 16
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Vascular Surgery
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellspan Medical Group
The Milton S Hershey Medical Center Physicians Group
Practice addresses (Care Compare)
252 S 4TH Street 2ND Floor
Wellspan Vascular Surgery
Lebanon, PA 17042-6111
Phone (717) 270-3751
500 Universidy Dr
Hershey, PA 17033-2360
Phone (717) 531-8395
Hospital & facility affiliations
- Milton S Hershey Medical Center
- Penn State Health Lancaster Medical Center
- Wellspan Good Samaritan Hospital
- Wellspan Ephrata Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 14 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200723000617 | PA | Practitioner - Vascular Surgery | 1355621913 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD470949 | PA | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current |
Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| The Milton S. Hershey Medical Center Physicians Group | Vascular Surgery | Current |
Accepting new patients |
| Wellspan Medical Group | Current |
Accepting new patients | |
| The Milton S Hershey Medical Center Physicians Group | Current | Accepting new patients | |
| The Milton S Hershey Medical Center Physician Group | Current |
Accepting new patients | |
| The Milton S Hershey Medical Center | Past | Accepting new patients | |
| The Milton S. Hershey Medical Center Physicians Group | Past | Accepting new patients |
Locations
503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100
500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131
500 University Dr
Hershey, PA 17033
Phone (717) 531-8181
2221 Noll Dr
Fl 1
Lancaster, PA 17603
Phone (717) 715-1001
252 S 4th St
#2
Lebanon, PA 17042
Phone (717) 270-3751
941 Park Dr
Palmyra, PA 17078
Phone (717) 531-8814
1600 S George St
York, PA 17403
Phone (717) 848-3615
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | MD470949 | PA | Yes |
Addresses
Primary practice location
500 University Drive
Hershey, PA 17033-0858
Mailing address
500 University Drive
Hershey, PA 17033
Phone (800) 243-1455
Other practice location 1
201 E University Pkwy
Dept of General surgery
Baltimore, MD 21218
Phone (410) 554-2782
Other providers in Hershey, PA
- Hunter Russell Alexander
- Katelyn E Alexander
- Rawan Alhau
- Maaz Ali
- Omaima A Ali
- Joseph Scott Aliaga
- Alberta Alickaj
- Bedir Alihsan
- Ermal Aliu
- Imad Aljabban
All providers in Hershey, PA · Vascular Surgery Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.