NPIMap

Individual provider Active NPI

Tariq Abo-Kamil, MD

  • Nephrology Physician
  • Henderson, NC
National Provider Identifier
1124077664
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
200501451 Issued in 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
Last updated
Jun 12, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 200501451 NC Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20051020001056 NC Practitioner - NephrologyPractitioner - Internal Medicine 4486670205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1501 N Bickett Blvd
Suite E
Louisburg, NC 27549-2178
Phone (919) 497-8380

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200501451NCMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Maria Parham Physician Practices, LLC Current Accepting new patients
DLP Maria Parham Physician Practices, LLC CurrentSince Nov 2, 2011 Accepting new patients
DLP Maria Parham Physician Practices LLC CurrentSince Nov 2, 2011 Accepting new patients
Maria Parham Nephrology & Hypertension Nephrology Past Accepting new patients
DLP Maria Parham Physician Practices, LLC Past Accepting new patients

Locations

120 Charles Rollins Rd
Ste 105
Henderson, NC 27536
Phone (252) 438-2773

120 Charles Rollins Rd
Ste 206
Henderson, NC 27536
Phone (252) 433-0430

566 Ruin Creek Rd
Ste 6
Henderson, NC 27536
Phone (252) 436-1080

568 Ruin Creek Rd
Ste 3
Henderson, NC 27536
Phone (252) 436-1080

568 Ruin Creek Rd
Ste 6
Henderson, NC 27536
Phone (252) 436-1085

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

  • Direct secure messaging: tariq.abo-kamil.1@20247.direct.athenahealth.com

Organizations & group practices 5

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1124077664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CHARLES ROLLINS RD",
            "address_2": "SUITE 206",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362882",
            "telephone_number": "252-436-1080",
            "fax_number": "252-436-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 RUIN CREEK RD",
            "address_2": "SUITE 006",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362880",
            "telephone_number": "252-436-1080",
            "fax_number": "252-436-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABO-KAMIL",
        "first_name": "TARIQ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "200501451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NC

Sources for this page

Verify at the official NPI Registry.