Individual provider Active NPI

Tarik J Wasfie, MD

  • Trauma Surgery Physician
  • Flint, MI
National Provider Identifier
1225029739
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
4301056701 Issued in MI
Practice address
1127 Villa Linde CT
Flint, MI 48532-3410
Phone
(810) 720-2710
Fax
(810) 720-5230
NPI assigned
Nov 3, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X TW056701 MI
Surgical Critical Care PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2086S0102X 4301056701 MI
Trauma Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2086S0127X 4301056701 MI Primary

Addresses

Primary practice location

1127 Villa Linde CT
Flint, MI 48532-3410

Mailing address

1127 Villa Linde CT
Flint, MI 48532-3410
Phone (810) 720-2710

Other identifiers 1

IdentifierTypeStateIssuer
2753137MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20101122001175 MI Practitioner - General Surgery 0345343281 Reassigns benefits to 1 organization
Practice locations: Flint, MI

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1127 Villa Linde CT
Suite 41
Flint, MI 48532-3410
Phone (810) 720-2710

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision12
Removal of tissue19
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TW056701MIMDSurgery Physician
4301056701MIMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hurley Medical Center Surgery CurrentSince Dec 16, 2013 Accepting new patients
Hurley Medical Center Single Specialty Current Accepting new patients
Hurley Medical Center Single Specialty CurrentSince Dec 16, 2013 Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients

Locations

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

Interoperability endpoints

  • Direct secure messaging: twasfie1157070@direct.hfhs.org

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1225029739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 VILLA LINDE CT",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323410",
            "telephone_number": "810-720-2710",
            "fax_number": "810-720-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 VILLA LINDE CT",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323410",
            "telephone_number": "810-720-2710",
            "fax_number": "810-720-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASFIE",
        "first_name": "TARIK",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "TW056701",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Surgical Critical Care",
            "state": "MI",
            "license": "4301056701",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": "MI",
            "license": "4301056701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2753137",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.