Tariq Abo-Kamil, MD
Individual provider Active NPI Nephrology Physician · Henderson, NC
NPI 1124077664 · NPPES record last updated Jun 12, 2012
Key facts
- NPI
- 1124077664
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 200501451 (NC)
- Practice address
- 568 Ruin Creek Rd
Suite 006
Henderson, NC 27536-2880 - Phone
- (252) 436-1080
- Fax
- (252) 436-1082
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 14
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- DLP Maria Parham Physician Practices LLC
Practice addresses (Care Compare)
1501 N Bickett Blvd
Suite E
Louisburg, NC 27549-2178
Phone (919) 497-8380
Hospital & facility affiliations
- DaVita Vance County Dialysis
- DaVita Kerr Lake Dialysis
- Maria Parham Medical Center
- Duke University Hospital
- Duke Regional Hospital
- Wakemed, Raleigh Campus
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- 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 |
|---|---|---|---|---|
| I20051020001056 | NC | Practitioner - Nephrology |
4486670205 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200501451 | NC | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Maria Parham Physician Practices, LLC | Current | Accepting new patients | |
| DLP Maria Parham Physician Practices, LLC | Current |
Accepting new patients | |
| DLP Maria Parham Physician Practices LLC | Current |
Accepting new patients | |
| Maria Parham Nephrology & Hypertension | Nephrology | Past | Accepting new patients |
| DLP Maria Parham Physician Practices, LLC | Past | Accepting new patients |
Locations
568 Ruin Creek Rd
Ste 3
Henderson, NC 27536
Phone (252) 436-1080
120 Charles Rollins Rd
Ste 206
Henderson, NC 27536
Phone (252) 433-0430
120 Charles Rollins Rd
Ste 105
Henderson, NC 27536
Phone (252) 438-2773
568 Ruin Creek Rd
Ste 6
Henderson, NC 27536
Phone (252) 436-1085
566 Ruin Creek Rd
Ste 6
Henderson, NC 27536
Phone (252) 436-1080
1501 N Bickett Blvd
Ste E
Louisburg, NC 27549
Phone (919) 497-0445
205 Sandalwood Ave
Ste B
Louisburg, NC 27549
Phone (919) 340-7010
Interoperability endpoints
- tariq.abo-kamil.1@20247.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 200501451 | NC | Yes |
Addresses
Primary practice location
568 Ruin Creek Rd
Suite 006
Henderson, NC 27536-2880
Mailing address
120 Charles Rollins Rd
Suite 206
Henderson, NC 27536-2882
Phone (252) 436-1080
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5902536 | Medicaid | NC |
Other providers in Henderson, NC
- A-1 Community Support LLC
- A.G.a.P.E. Community Development Corporation, Inc.
- Abbott Chiropractic PLLC
- Hannah Marie Abbott
- Marcus McCray Abbott
- Access Counseling Services, PLLC
- Adept Physicians PLLC
- Johnathan Todd Adkins
- Adore Home Health LLC
- Advantage Care in Home Services, Inc
All providers in Henderson, NC · Nephrology Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2012. 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.