NPIMap

Individual provider Active NPI

Komal Tariq, M.D

  • Internal Medicine Physician
  • Middletown, OH
National Provider Identifier
1003296591
Registry record updated Oct 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.133073 Issued in OH
Practice address
6730 Roosevelt Ave Ste 303
Middletown, OH 45005
Phone
(513) 874-0486
Fax
(513) 280-8868
NPI assigned
Jun 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 35.133073 OH
Internal Medicine Physician 207R00000X 35.133073 OH Primary

Addresses

Primary practice location

6730 Roosevelt Ave Ste 303
Middletown, OH 45005

Mailing address

PO Box 229
Miamisburg, OH 45343-0229
Phone (513) 874-0486

Other identifiers 2

IdentifierTypeStateIssuer
7100557280MedicaidKY
0300858MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180702003058 OH Practitioner - Internal Medicine 3678875804 Reassigns benefits to 1 organization
I20180824000431 KY Practitioner - Internal Medicine 3678875804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medicine Inpatient Group LLCGroup PAC ID 3577645340, 39 clinicians

Practice addresses (Care Compare)

630 Eaton Ave
Hamilton, OH 45013-2767
Phone (513) 867-2000

Hospital & facility affiliations

  • Hospice of the Bluegrass, Inc Dba Bluegrass Care N Hospice, Lexington, KY, CCN 181500
  • Hospice Care of St Elizabeth Healthcare Hospice, Edgewood, KY, CCN 181513
  • Boonespring Transitional Care Center, LLC Nursing home, Union, KY, CCN 185486
  • Emerald Trace Nursing home, Elsmere, KY, CCN 185481
  • Coldspring Transitional Care Center Nursing home, Cold Spring, KY, CCN 185476

Merit-based Incentive Payment System (MIPS)

Final score
57.66 of 100Reported as group
Quality
47.87
Promoting interoperability
0
Improvement activities
40
Cost
70.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Medicine Inpatient Group, LLC Internal Medicine CurrentSince May 21, 2018 Accepting new patients
Coldspring Transitional Care Center, LLC Past Accepting new patients
Boonespring Transitional Care Center, LLC Past Accepting new patients

Locations

300 Plaza Dr
Cold Spring, KY 41076
Phone (859) 341-2044

10250 US Highway 42
Union, KY 41091
Phone (502) 525-6511

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

6730 Roosevelt Ave
Ste 303
Middletown, OH 45005
Phone (513) 618-7430

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1003296591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 229",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453430229",
            "telephone_number": "513-874-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6730 ROOSEVELT AVE STE 303",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "45005",
            "telephone_number": "513-874-0486",
            "fax_number": "513-280-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARIQ",
        "first_name": "KOMAL",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-01",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35.133073",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.133073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100557280",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0300858",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

Verify at the official NPI Registry.