Active NPI
Tarek El Masri, M.D.
- Pediatrics Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 42916
- Practice address
- 9150 W Indian School Rd
Phoenix, AZ 85037-2384 - Phone
- (623) 931-3028
- NPI assigned
- Sep 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 42916 | KY | Primary |
Addresses
Primary practice location
9150 W Indian School Rd
Phoenix, AZ 85037-2384
Mailing address
9150 W Indian School Rd
Phoenix, AZ 85037-2384
Phone (623) 931-3028
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100077010 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42916 | KY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leitchfield Pediatric Clinic P.S.C. | Pediatrics | Current | Accepting new patients |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Norton Children'S Medical Group, LLC | Pediatrics | Current | Accepting new patients |
| Norton Children'S Medical Group, LLC | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Norton Children'S Medical Group, LLC | Current | Accepting new patients | |
| Banner Estrella Medical Center | Past | Accepting new patients | |
| North Scottsdale Pediatric Associates | Pediatrics | Past | Accepting new patients |
| Arbor Medical Partners, LLC | Pediatrics | Past | Accepting new patients |
| Banner Gateway Medical Center | Past | Accepting new patients |
Locations
901 Wallace Ave
Leitchfield, KY 42754
Phone (270) 259-5641
601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670
825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165
7926 Preston Hwy
Ste 210
Louisville, KY 40219
Phone (502) 309-9811
Interoperability endpoints
- telmasri152223@direct.nortonhealthcare.org
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61385
- tarek.elmasri@pediatricclinic.directbygreenway.com
Organizations & group practices 10
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.
-
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1306983762
-
- Rural Health Clinic/Center
- Leitchfield, KY
- NPI 1558318543
Pediatrics
-
- Psychiatry Physician
- Louisville, KY
- NPI 1457999096
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1881192409
-
- Pediatric Endocrinology Physician
- Louisville, KY
- NPI 1548801186
Pediatrics
-
- Pediatric Radiology Physician
- Louisville, KY
- NPI 1659913812
-
- Pediatrics Physician
- Scottsdale, AZ
- NPI 1023546082
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1275566200
-
- General Acute Care Hospital
- Gilbert, AZ
- NPI 1699884858
-
- Pediatrics Physician
- Scottsdale, AZ
- NPI 1275797235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1194919902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9150 W INDIAN SCHOOL RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850372384",
"telephone_number": "623-931-3028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9150 W INDIAN SCHOOL RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850372384",
"telephone_number": "623-931-3028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EL MASRI",
"first_name": "TAREK",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-05",
"last_updated": "2023-06-14",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KY",
"license": "42916",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100077010",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.