Tarek Pacha, D.O

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

5101016847 Issued in MI

Practice address

4137 Coolidge Hwy
Troy, MI 48098-4316

Phone

(256) 861-6480

NPI assigned

Aug 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Urology

Education

Midwestern University, Chicago College of Osteopathic Med, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Memorial HospitalGroup PAC ID 8527976497, 210 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Healthcare Hospital, Owosso, MI, CCN 230121
• McLaren Flint Hospital, Flint, MI, CCN 230141

Merit-based Incentive Payment System (MIPS)

Final score

82.58 of 100Reported as group

Quality

58.15

Promoting interoperability

100

Improvement activities

40

Cost

74.45

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: t.pacha@memorialhealthcare.midirect.net
• Direct secure messaging: tarekpacha@memh.allscriptsdirect.net

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.

• Memorial Hospital

  • General Practice Physician
  • Owosso, MI
  • NPI 1235160532
  Medicare reassignment Care Compare group NPD
• Tarek Pacha

  • Urology Physician
  • Talladega, AL
  • NPI 1326390352
  NPD (past) Authorized official
• Memorial Hospital

  • General Practice Physician
  • Owosso, MI
  • NPI 1316008006
  NPD
• Memorial Hospital

  • Anesthesiology Physician
  • Owosso, MI
  • NPI 1659527737
  NPD
• Memorial Hospital

  • Home Health Agency
  • Owosso, MI
  • NPI 1952498610
  NPD (past)

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

• McLaren Flint

  • General Acute Care Hospital
  • Flint, MI
  • NPI 1902894512
  Care Compare affiliation
• Memorial Hospital

  • General Acute Care Hospital
  • Owosso, MI
  • NPI 1063414233
  Care Compare affiliation

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

{
    "created_epoch": "1187481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1093908568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4137 COOLIDGE HWY",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480984316",
            "telephone_number": "256-861-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4137 COOLIDGE HWY",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480984316",
            "telephone_number": "256-861-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHA",
        "first_name": "TAREK",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-19",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AL",
            "license": "DO1253",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "5101016847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Our Home Home Care LLC
• Jenna Nicole Overly, M.D.
• Nasrin Oveys, DPM
• Shaquana Christina-Marie Owens
• Teresa Oxholm, MD
• Lilian Paciorkowski, NP
• Maria Theresa Pacis Biederman
• Padua Home Health Care, LLC
• Megan Ann Pagel, PT, DPT
• Brian Thomas Pagett, MPT

• Urology Physician in Troy, MI
• Providers in Troy, MI by specialty
• Urology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.