NPIMap

Individual provider Active NPI

Tariq Hafiz, MD

  • Cardiovascular Disease Physician
  • Philadelphia, PA
National Provider Identifier
1073586178
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD050936L Issued in PA
Practice address
1575 N 52ND St
Philadelphia, PA 19131-4736
Phone
(267) 930-4858
NPI assigned
Feb 9, 2006
Last updated
Mar 31, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD050936L PA
Cardiovascular Disease Physician 207RC0000X MD050936L PA Primary

Addresses

Primary practice location

1575 N 52ND St
Philadelphia, PA 19131-4736

Mailing address

101 E Olney Ave
Ste 400
Philadelphia, PA 19120-2470
Phone (215) 456-1825

Other practice location 1

106 S Claude A Lord Blvd
Pottsville, PA 17901-3637
Phone (570) 622-4209

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100602000213 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3577523117 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Einstein Practice Plan IncGroup PAC ID 2769395896, 774 clinicians

Practice addresses (Care Compare)

401 Township Line Rd
Suite a
Philadelphia, PA 19111-3061
Phone (215) 663-1188

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Schuylkill Health System Medical Group, Inc. Internal Medicine CurrentSince Jun 13, 2017 Accepting new patients
Einstein Practice Plan Inc CurrentSince Feb 3, 2020 Accepting new patients
Schuylkill Health System Medical Group, Inc. Internal Medicine CurrentSince Jun 13, 2017 Accepting new patients
Einstein Practice Plan Inc Cardiovascular Disease CurrentSince Feb 3, 2020 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
Dedicated Pennsylvania Holding, LLC Past Accepting new patients
Einstein Practice Plan Inc Past Accepting new patients

Locations

401 Township Line Rd
Ste A
Elkins Park, PA 19027
Phone (215) 663-1188

101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630

401 Township Line Rd
Ste A
Philadelphia, PA 19111
Phone (215) 663-1188

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

9880 Bustleton Ave
Ste 2
Philadelphia, PA 19115
Phone (215) 827-1500

106 S Claude a Lord Blvd
Pottsville, PA 17901
Phone (570) 622-4209

205 E Laurel Blvd
Pottsville, PA 17901
Phone (570) 622-1887

700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440

Organizations & group practices 7

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

Hospital & facility affiliations 12

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1073586178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E OLNEY AVE",
            "address_2": "STE 400",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202470",
            "telephone_number": "215-456-1825",
            "fax_number": "215-456-5926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 N 52ND ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191314736",
            "telephone_number": "267-930-4858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 S Claude A Lord Blvd",
            "address_purpose": "LOCATION",
            "city": "Pottsville",
            "state": "PA",
            "postal_code": "179013637",
            "country_code": "US",
            "telephone_number": "570-622-4209",
            "fax_number": "570-622-1386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAFIZ",
        "first_name": "TARIQ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD050936L",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD050936L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.