NPIMap

Individual provider Active NPI

Tarek Taha, MD

  • Orthopaedic Surgery Physician
  • Saginaw, MI
National Provider Identifier
1245490739
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4301102463 Issued in MI
Practice address
4701 Towne Centre Rd
Suite 303
Saginaw, MI 48604-2834
Phone
(989) 790-6719
Fax
(989) 790-9464
NPI assigned
Jun 10, 2008
Last updated
Apr 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 01066701A IN
Orthopaedic Surgery Physician 207X00000X 45863 AZ
Orthopaedic Surgery Physician 207X00000X 11013957A IN
Orthopaedic Surgery Physician 207X00000X 4301102463 MI Primary

Addresses

Primary practice location

4701 Towne Centre Rd
Suite 303
Saginaw, MI 48604-2834

Mailing address

3531 S Doncaster CT
Apt D06
Saginaw, MI 48603-7900
Phone (843) 364-3230

Other identifiers 5

IdentifierTypeStateIssuer
45863OtherAZMEDICAL LICENSE NUMBER
699769MedicaidAZ
1245490739MedicaidMI
01066701AOtherINMEDICAL LICENSE NUMBER
4301102463OtherMIMEDICAL LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tarekataha@smomsjhs.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131112000123 MI Practitioner - Orthopedic Surgery 4981850708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Medical University of South Carolina College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rau Physical Therapy IncGroup PAC ID 2365721339, 98 clinicians
Mymichigan Medical Center SaginawGroup PAC ID 6305737156, 111 clinicians

Practice addresses (Care Compare)

193 E Jefferson St
Frankenmuth, MI 48734-1935

4701 Towne Centre Rd
Suite 303
Saginaw, MI 48604-2833
Phone (989) 799-6719

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement44
Knee replacement39
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01066701AINMDOrthopaedic Surgery Physician
11013957AINMDOrthopaedic Surgery Physician
4301102463MIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Saginaw Orthopaedic Surgery CurrentSince Aug 5, 2013 Accepting new patients
Mymichigan Medical Center Saginaw Current Accepting new patients
Mymichigan Medical Center Saginaw CurrentSince Aug 5, 2013 Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients
Sonoran Orthopaedic Trauma Surgeons PastSince Sep 21, 2025 Accepting new patients

Locations

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4677 Towne Centre Rd
Fl 2
Saginaw, MI 48604

4701 Towne Centre Rd
Ste 3
Saginaw, MI 48604
Phone (989) 790-0007

4701 Towne Centre Rd
Ste 303
Saginaw, MI 48604
Phone (989) 780-2455

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5564/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tarek.taha.1@11016.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1245490739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3531 S DONCASTER CT",
            "address_2": "APT D06",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486037900",
            "telephone_number": "843-364-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 TOWNE CENTRE RD",
            "address_2": "SUITE 303",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042834",
            "telephone_number": "989-790-6719",
            "fax_number": "989-790-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHA",
        "first_name": "TAREK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01066701A",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "45863",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "11013957A",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301102463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "45863",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "699769",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245490739",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "01066701A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "4301102463",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tarekataha@smomsjhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "4701 Towne Centre Rd",
            "address_2": "Suite 303",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486042834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.