Individual provider Active NPI

Tariq Khalid Hendawi, M.D.

  • Orthopaedic Surgery Physician
  • Arlington, TX
National Provider Identifier
1174818785
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
R2122 Issued in TX
Practice address
3533 Matlock Rd
Arlington, TX 76015-3604
Phone
(817) 419-0303
Fax
(817) 468-5963
NPI assigned
Jun 10, 2011
Last updated
Oct 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X R2122 TX Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X R2122 TX

Addresses

Primary practice location

3533 Matlock Rd
Arlington, TX 76015-3604

Mailing address

3533 Matlock Rd
Arlington, TX 76015-3604
Phone (817) 419-0303

Other identifiers 1

IdentifierTypeStateIssuer
373540902MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20170628002004 TX Practitioner - Orthopedic Surgery 2264656040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Louisiana State University School of Medicine in New Orleans, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Tmi Sports Medicine and Orthopedic Surgery PAGroup PAC ID 1052399508, 19 clinicians

Practice addresses (Care Compare)

3533 Matlock Rd
Arlington, TX 76015-3604
Phone (817) 419-0303

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tmi Sports Medicine and Orthopedic Surgery PA Orthopaedic Surgery CurrentSince Jan 1, 2020 Accepting new patients
Tmi Sports Medicine and Orthopedic Surgery PA Orthopaedic Surgery CurrentSince Jan 1, 2020 Accepting new patients

Locations

3533 Matlock Rd
Arlington, TX 76015
Phone (817) 419-0303

11000 Frisco St
Ste 200
Frisco, TX 75033
Phone (469) 935-7775

76 Regency Pkwy
Mansfield, TX 76063
Phone (817) 419-0303

Interoperability endpoints

  • Direct secure messaging: tariq.hendawi.1@25955.direct.athenahealth.com

Organizations & group practices 2

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 2

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": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1174818785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3533 MATLOCK RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760153604",
            "telephone_number": "817-419-0303",
            "fax_number": "817-468-5963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 MATLOCK RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760153604",
            "telephone_number": "817-419-0303",
            "fax_number": "817-468-5963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDAWI",
        "first_name": "TARIQ",
        "middle_name": "KHALID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-10",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "R2122",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "R2122",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373540902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.