Individual provider Active NPI

Arshad Tariq, MD

  • Pediatrics Physician
  • Kingman, AZ
National Provider Identifier
1306830948
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
18088 Issued in AZ
Practice address
3636 N Stockton Hill Rd
Kingman, AZ 86409-0514
Phone
(928) 757-3636
Fax
(928) 757-7224
NPI assigned
Sep 9, 2005
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
Pediatrics Physician 208000000X 18088 AZ Primary

Addresses

Primary practice location

3636 N Stockton Hill Rd
Kingman, AZ 86409-0514

Mailing address

3636 N Stockton Hill Rd
Kingman, AZ 86409-0514
Phone (928) 757-3636

Other identifiers 1

IdentifierTypeStateIssuer
173055MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040524000176 AZ Practitioner - Pediatric MedicinePractitioner - General Practice 2769473180 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: General Practice
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Institute of Medicine and SurgeryGroup PAC ID 0547155566, 3 clinicians
Aims Physicians and SurgeonsGroup PAC ID 6709770696, 7 clinicians

Practice addresses (Care Compare)

3636 N Stockton Hill Rd
Kingman, AZ 86409-0514
Phone (928) 757-3636

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aims Physicians and Surgeons Pediatrics CurrentSince Apr 1, 2024 Accepting new patients
Arizona Institute of Medicine and Surgery CurrentSince Apr 24, 2000 Accepting new patients
Kingman Emergency Associates PLLC Past Accepting new patients

Locations

1830 Highway 95
Bullhead City, AZ 86442
Phone (602) 757-3636

3636 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-3636

Organizations & group practices 3

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 1

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": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1306830948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 N STOCKTON HILL RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864090514",
            "telephone_number": "928-757-3636",
            "fax_number": "928-757-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 N STOCKTON HILL RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864090514",
            "telephone_number": "928-757-3636",
            "fax_number": "928-757-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARIQ",
        "first_name": "ARSHAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "18088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173055",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

Verify at the official NPI Registry.