NPIMap

Individual provider Active NPI

Tariq Khreis, MD

  • Hematology & Oncology Physician
  • Medford, OR
National Provider Identifier
1366966368
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD214384 Issued in OR
Practice address
3011 E Barnett Rd
Medford, OR 97504-8301
Phone
(541) 789-4673
Fax
(541) 789-2121
NPI assigned
Aug 1, 2017
Last updated
Jun 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 35988 OK
Hematology & Oncology Physician 207RH0003X MD214384 OR Primary

Addresses

Primary practice location

3011 E Barnett Rd
Medford, OR 97504-8301

Mailing address

PO Box 4749
Medford, OR 97501-0227
Phone (541) 789-4111

Other practice location 1

800 NE 10th St # 6071
Oklahoma City, OK 73104-5418
Phone (405) 271-4022

Other practice location 2

510 SW Ramsey Ave
Grants Pass, OR 97527-5554
Phone (541) 789-4673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20230705000131 OR Practitioner - Hematology/Oncology 1052656998 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
AsanteGroup PAC ID 0547177321, 141 clinicians
Asante Three Rivers Medical Center LLCGroup PAC ID 9931197993, 98 clinicians

Practice addresses (Care Compare)

2825 E Barnett Rd
Medford, OR 97504-8332
Phone (541) 789-7000

500 SW Ramsey Ave
Grants Pass, OR 97527-5554
Phone (541) 472-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35988OKMDHematology & Oncology Physician
MD214384ORMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asante CurrentSince Jul 1, 2023 Accepting new patients
Asante CurrentSince Jul 1, 2023 Accepting new patients
Asante Three Rivers Medical Center, LLC CurrentSince Jul 1, 2023 Accepting new patients

Locations

2825 E Barnett Rd
Medford, OR 97504
Phone (541) 282-6770

3011 E Barnett Rd
Medford, OR 97504
Phone (541) 789-4673

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 8

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": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1366966368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4749",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975010227",
            "telephone_number": "541-789-4111",
            "fax_number": "541-789-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 E BARNETT RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048301",
            "telephone_number": "541-789-4673",
            "fax_number": "541-789-2121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 NE 10th St # 6071",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731045418",
            "country_code": "US",
            "telephone_number": "405-271-4022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 SW Ramsey Ave",
            "address_purpose": "LOCATION",
            "city": "Grants Pass",
            "state": "OR",
            "postal_code": "975275554",
            "country_code": "US",
            "telephone_number": "541-789-4673",
            "fax_number": "541-789-2121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHREIS",
        "first_name": "TARIQ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-01",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OK",
            "license": "35988",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OR",
            "license": "MD214384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.