NPIMap

Individual provider Active NPI

Tariq A. Kelker, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Riverside, CA
National Provider Identifier
1255771291
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
A125913 Issued in CA
Practice address
4445 Magnolia Ave
Dept of Trauma
Riverside, CA 92501-4135
Phone
(714) 330-1844
NPI assigned
Jul 3, 2013
Last updated
Aug 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A125913 CA Primary
Surgery Physician 208600000X 125913 CA
Surgical Critical Care Physician 2086S0102X 125913 CA
Trauma Surgery Physician 2086S0127X 125913 CA

Addresses

Primary practice location

4445 Magnolia Ave
Dept of Trauma
Riverside, CA 92501-4135

Mailing address

331 Navajo Springs Rd
Diamond Bar, CA 91765-1318
Phone (714) 330-1844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20130823000275 CA Practitioner - Critical Care (Intensivists)Practitioner - General Surgery 8628211638 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - Intensivists PCGroup PAC ID 9032423421, 112 clinicians

Practice addresses (Care Compare)

1150 M Indian Canyon Dr
Palm Springs, CA 92262-4872
Phone (760) 323-6511

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125913CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MGM Physician Assistant Inc CurrentSince Aug 1, 2025 Accepting new patients
Cep America - Intensivists PC Critical Care Medicine CurrentSince Aug 13, 2022 Accepting new patients
Cep America - Intensivists PC Critical Care Medicine CurrentSince Aug 13, 2022 Accepting new patients
Cep America - Intensivists PC Critical Care Medicine Current Accepting new patients
Inpatient Specialists of California, PC CurrentSince Jan 14, 2017 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

1525 3rd St
Ste 205
Riverside, CA 92507
Phone (310) 619-7370

609 Deep Valley Dr
Ste 200
Rolling Hills Estates, CA 90274
Phone (310) 594-9604

2825 Capitol Ave
Sacramento, CA 95816
Phone (916) 887-0000

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 5

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": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1255771291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 NAVAJO SPRINGS RD",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651318",
            "telephone_number": "714-330-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 MAGNOLIA AVE",
            "address_2": "DEPT OF TRAUMA",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014135",
            "telephone_number": "714-330-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELKER",
        "first_name": "TARIQ",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-03",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A125913",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "125913",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "CA",
            "license": "125913",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "CA",
            "license": "125913",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.