Individual provider Active NPI

Tariq S Noohani, D.O.

  • Emergency Medicine Physician
  • Brandon, FL
National Provider Identifier
1275576464
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS9464 Issued in FL
Practice address
119 Oakfield Dr
Brandon, FL 33511-5779
Phone
(813) 681-5551
NPI assigned
Jun 14, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS9464 FL Primary

Addresses

Primary practice location

119 Oakfield Dr
Brandon, FL 33511-5779

Mailing address

14050 NW 14TH St
Suite 190
Sunrise, FL 33323-2865
Phone (800) 424-3672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111227000395 GA Practitioner - Emergency Medicine 0244266773 Reassigns benefits to 6 organizations
I20251105002818 MA Practitioner - Emergency Medicine 0244266773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Nova Southeastern College of Osteo Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newburyport Emergency Physicians, PLLCGroup PAC ID 4688193071, 55 clinicians
The Bortolazzo Group, LLCGroup PAC ID 3476554320, 98 clinicians

Practice addresses (Care Compare)

1601 Watson Blvd
Warner Robins, GA 31093-3431
Phone (478) 922-4281

25 Highland Ave
Newburyport, MA 01950-3867
Phone (978) 463-1000

3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 732-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1024755MAMDClinical Social Worker
OS9464FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Physician Services, LLC Emergency Medicine CurrentSince Apr 10, 2025 Accepting new patients
Houston County Emergency Group, LLC Emergency Medicine Current Accepting new patients
Gordon Emergency Physicians, LLC Emergency Medicine CurrentSince Sep 10, 2025 Accepting new patients
Newburyport Emergency Physicians, PLLC Emergency Medicine CurrentSince Sep 28, 2025 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Emergency Group of Columbus, LLC Emergency Medicine CurrentSince Apr 10, 2025 Accepting new patients
Houston County Emergency Group, LLC Emergency Medicine CurrentSince Oct 1, 2022 Accepting new patients
Gordon Emergency Physicians, LLC Emergency Medicine CurrentSince Sep 10, 2025 Accepting new patients
The Bortolazzo Group, LLC Emergency Medicine CurrentSince Dec 1, 2011 Accepting new patients
Osprey Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Emergency Services of Zephyrhills PA Emergency Medicine Past Accepting new patients
Oakfield Drive Emergency Physicians LLC Emergency Medicine Past Accepting new patients
East Pasco Emergency Consultant Emergency Medicine Past Accepting new patients
Florida Em-I Medical Services PA Emergency Medicine Past Accepting new patients

Locations

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

3000 Hospital Blvd
Roswell, GA 30076
Phone (770) 751-2500

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: tnoohani62164@directwellstar.org

Organizations & group practices 15

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.

View all 15

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1275576464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14050 NW 14TH ST",
            "address_2": "SUITE 190",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232865",
            "telephone_number": "800-424-3672",
            "fax_number": "954-377-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115779",
            "telephone_number": "813-681-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOOHANI",
        "first_name": "TARIQ",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS9464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.