Active NPI
Tallat M Rizk, MD
- Physical Medicine & Rehabilitation Physician
- Trinity, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- ME150284
- Practice address
- 3152 Little Rd Ste 162
Trinity, FL 34655-1864 - Phone
- (847) 289-5727
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | ME150284 | FL | Primary |
Addresses
Primary practice location
3152 Little Rd Ste 162
Trinity, FL 34655-1864
Mailing address
3152 Little Rd Ste 162
Trinity, FL 34655-1864
Phone (847) 289-5727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220722000516 | FL | Practitioner - Physical Medicine and Rehabilitation | 8729066535 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME150284 | FL | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical University of Ohio at Toledo | Current | Accepting new patients | |
| Radial Health Southeast LLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Mercy Health-St Charles Hospital LLC | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
550 National Health Care Dr
Daytona Beach, FL 32114
Phone (386) 257-6362
595 N Williamson Blvd
Daytona Beach, FL 32114
Phone (386) 257-4400
500 National Health Care Dr
Daytona Beach, FL 32114
701 W Plymouth Ave
Deland, FL 32720
Phone (386) 943-3160
301 Memorial Medical Pkwy
Holly Hill, FL 32117
Phone (386) 231-3906
401 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 424-5000
1055 Saxon Blvd
Fl 1
Orange City, FL 32763
Phone (386) 917-5000
1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000
170 N Old Kings Rd
Ormond Beach, FL 32174
Phone (386) 615-8139
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
1 Adventhealth Way
Palm Coast, FL 32137
Phone (330) 414-9233
8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212
3152 Little Rd
Trinity, FL 34655
Phone (727) 271-9156
2500 W Higgins Rd
Ste 1165
Hoffman Estates, IL 60169
Phone (647) 610-3188
3000 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3556
Interoperability endpoints
- trizk25730@direct.utoledo.edu
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.
-
- Physical Medicine & Rehabilitation Physician
- Navarre, FL
- NPI 1174159891
FL, Physical Medicine & Rehabilitation
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1811971302
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Family Medicine Physician
- Toledo, OH
- NPI 1811923212
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Daytona Beach, FL
- NPI 1598860108
Inpatient rehabilitation facility
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Radial Health Southeast LLC
Practice addresses (Care Compare)
8383 N Davis Hwy
Pensacola, FL 32514-0321
Phone (850) 494-3212
Hospital & facility affiliations
- Adventhealth Daytona Beach
- Adventhealth Daytona Beach
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.82 of 100
- Quality
- 85
- Improvement activities
- 40
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664236800000",
"number": "1245237155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3152 LITTLE RD STE 162",
"city": "TRINITY",
"state": "FL",
"postal_code": "346551864",
"telephone_number": "847-289-5727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3152 LITTLE RD STE 162",
"city": "TRINITY",
"state": "FL",
"postal_code": "346551864",
"telephone_number": "847-289-5727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIZK",
"first_name": "TALLAT",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2022-09-27",
"certification_date": "2022-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "ME150284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trinity, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.