Individual provider Active NPI

Tareq Hulali, M.D

  • Pediatrics Physician
  • Midland, TX
National Provider Identifier
1194813709
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
N3740 Issued in TX
Practice address
3421 Caldera Blvd
Midland, TX 79707-2825
Phone
(251) 533-7766
Fax
(432) 242-0541
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X N3740 TX Primary

Addresses

Primary practice location

3421 Caldera Blvd
Midland, TX 79707-2825

Mailing address

5317 Greathouse Ave
Midland, TX 79707-3133
Phone (251) 533-7766

Other identifiers 4

IdentifierTypeStateIssuer
205210204MedicaidTX
205210205MedicaidTX
0048WBOtherTXBLUE CROSS BLUE SHIELD
1194813709MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Care I, Inc Pediatrics Past Accepting new patients
Midland Orthopedic Specialists Group Past Accepting new patients
Basin Cardiothoracic & Vascular Surgery Associates Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tareqhulalimd@f6398bd6.micromddirect.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1194813709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5317 GREATHOUSE AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797073133",
            "telephone_number": "251-533-7766",
            "fax_number": "432-242-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 CALDERA BLVD",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797072825",
            "telephone_number": "251-533-7766",
            "fax_number": "432-242-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULALI",
        "first_name": "TAREQ",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N3740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205210204",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205210205",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0048WB",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194813709",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.