Individual provider Active NPI

Tallat M Rizk, MD

  • Physical Medicine & Rehabilitation Physician
  • Trinity, FL
National Provider Identifier
1245237155
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME150284 Issued in FL
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

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
ME150284FLMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical University of Ohio at Toledo Current Accepting new patients
Radial Health Southeast LLC Physical Medicine & Rehabilitation CurrentSince Aug 1, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 24 clinicians

Practice addresses (Care Compare)

8383 N Davis Hwy
Pensacola, FL 32514-0321
Phone (850) 494-3212

Hospital & facility affiliations

  • Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068
  • Adventhealth Daytona Beach Inpatient rehabilitation facility, Daytona Beach, FL, CCN 10T068

Merit-based Incentive Payment System (MIPS)

Final score
96.82 of 100Reported as group
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

Verify at the official NPI Registry.