Individual provider Active NPI

Musaddiq Tariq, M.D.

  • Psychiatry Physician
  • Maywood, IL
National Provider Identifier
1326465436
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A175534 Issued in CA
Practice address
2160 S 1St Ave
Maywood, IL 60153-3328
Phone
(708) 783-2226
NPI assigned
Mar 26, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA10658500 NJ
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 76824 WI
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X A175534 CA Primary
Psychiatry Physician 2084P0800X 036.161479 IL

Addresses

Primary practice location

2160 S 1St Ave
Maywood, IL 60153-3328

Mailing address

301 E 13TH St
Merced, CA 95341-6211
Phone (209) 381-6800

Other practice location 1

301 E 13th St
Merced, CA 95341-6211
Phone (209) 381-6800

Other practice location 2

20201 Crawford Ave
Olympia Fields, IL 60461-1010
Phone (209) 866-5141

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mtariq232482@direct.luhs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, WI, IL, CA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20200602000487 NJ Practitioner - Psychiatry 7012338924 Practice locations: Hackensack, NJ
I20220527000549 WI Practitioner - Psychiatry 7012338924 Reassigns benefits to 1 organization
I20220812002664 IL Practitioner - Psychiatry 7012338924 Reassigns benefits to 1 organization
I20240618004549 CA Practitioner - Psychiatry 7012338924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

284 American Legion Dr
Apt 2C
Hackensack, NJ 07601-2461
Phone (347) 238-6438

466 Hackensack Ave
Suite 1139
Hackensack, NJ 07601-6305

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Napa County CurrentSince Mar 19, 2024 Accepting new patients
CGH Medical Center Multi-Specialty CurrentSince Aug 1, 2022 Accepting new patients
CGH Medical Center CurrentSince Aug 1, 2022 Accepting new patients
SSM Health Care of Wisconsin Inc Multi-Specialty CurrentSince Sep 1, 2023 Accepting new patients
SSM Health Care of Wisconsin, Inc. Multi-Specialty CurrentSince Sep 1, 2023 Accepting new patients
County of Napa Multi-Specialty CurrentSince Mar 19, 2024 Accepting new patients

Locations

2751 Napa Valley Corporate Dr
Bldg A
Napa, CA 94558
Phone (707) 253-4279

2751 Napa Valley Corporate Dr
Napa, CA 94558
Phone (707) 227-3900

2751 Napa Valley Corporate Dr
Bldg B
Napa, CA 94558
Phone (707) 227-3880

7153 Solutions Ctr
Chicago, IL 60677

1809 Locust St
Sterling, IL 61081
Phone (815) 564-4002

100 E Lefevre Rd
Sterling, IL 61081
Phone (815) 625-0400

707 14th St
Baraboo, WI 53913
Phone (608) 356-1400

Interoperability endpoints

  • Direct secure messaging: mtariq413799@direct.ahsys.org
  • Direct secure messaging: musaddiq.tariq.p1@direct.cfg.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1326465436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E 13TH ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953416211",
            "telephone_number": "209-381-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601533328",
            "telephone_number": "708-783-2226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 E 13th St",
            "address_purpose": "LOCATION",
            "city": "Merced",
            "state": "CA",
            "postal_code": "953416211",
            "country_code": "US",
            "telephone_number": "209-381-6800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20201 Crawford Ave",
            "address_purpose": "LOCATION",
            "city": "Olympia Fields",
            "state": "IL",
            "postal_code": "604611010",
            "country_code": "US",
            "telephone_number": "209-866-5141",
            "fax_number": "708-679-2161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TARIQ",
        "first_name": "MUSADDIQ",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-26",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA10658500",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "76824",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A175534",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.161479",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mtariq232482@direct.luhs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2160 S 1st Ave",
            "city": "Maywood",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601533328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maywood, IL

Sources for this page

Verify at the official NPI Registry.