Individual provider Active NPI

Shafaq Tariq, MD

  • Infectious Disease Physician
  • Mansfield, TX
National Provider Identifier
1356801138
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
U9673 Issued in TX
Practice address
350 Matlock Rd Ste 201
Mansfield, TX 76063-6889
Phone
(817) 539-9091
NPI assigned
Mar 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X U9673 TX
Infectious Disease Physician 207RI0200X U9673 TX Primary

Addresses

Primary practice location

350 Matlock Rd Ste 201
Mansfield, TX 76063-6889

Mailing address

350 Matlock Rd Ste 201
Mansfield, TX 76063-6889
Phone (817) 539-9091

Other practice location 1

515 W Mayfield Rd Ste 404
Arlington, TX 76014-2085
Phone (817) 539-9091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240620004217 TX Practitioner - Infectious DiseasePractitioner - Internal Medicine 0042545196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Id Partners PAGroup PAC ID 0042593121, 7 clinicians

Practice addresses (Care Compare)

515 W Mayfield Rd
Arlington, TX 76014-2085
Phone (817) 539-9091

Hospital & facility affiliations

  • Methodist Mansfield Medical Center Hospital, Mansfield, TX, CCN 670023
  • Medical City Arlington Hospital, Arlington, TX, CCN 450675
  • Baylor Scott & White Medical Center- Waxahachie Hospital, Waxahachie, TX, CCN 450372
  • Methodist Midlothian Medical Center Hospital, Midlothian, TX, CCN 670300
  • Texas Health Hospital Mansfield Hospital, Mansfield, TX, CCN 670309

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U9673TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Id Partners PA Internal Medicine CurrentSince Jun 6, 2024 Accepting new patients

Locations

515 W Mayfield Rd
Ste 4040
Arlington, TX 76014

515 W Mayfield Rd
Ste 404
Arlington, TX 76014
Phone (817) 375-5847

350 Matlock Rd
Ste 201
Mansfield, TX 76063
Phone (817) 539-9091

Organizations & group practices 1

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.

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": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1356801138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 MATLOCK RD STE 201",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636889",
            "telephone_number": "817-539-9091",
            "fax_number": "817-539-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 MATLOCK RD STE 201",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636889",
            "telephone_number": "817-539-9091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 W Mayfield Rd Ste 404",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760142085",
            "country_code": "US",
            "telephone_number": "817-539-9091",
            "fax_number": "817-539-9553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TARIQ",
        "first_name": "SHAFAQ",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "U9673",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "U9673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.