Active NPI
M. Tarek Baghdadi, MD
- Specialist
- Tacoma, WA
National Provider Identifier
1376650697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 00026186
- Practice address
- 1802 Yakima Ave
Suite 300
Tacoma, WA 98405-4499 - Phone
- (253) 383-5628
- Fax
- (253) 383-5687
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 00026186 | WA | Primary |
Addresses
Primary practice location
1802 Yakima Ave
Suite 300
Tacoma, WA 98405-4499
Mailing address
1802 Yakima Ave
Suite 300
Tacoma, WA 98405-4499
Phone (253) 383-5628
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G001001816 | Other | WA | GROUP PTAN |
| GAB11662 | Other | WA | INDIVDUAL PTAN |
| 1055185 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00026186 | WA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M Tarek Baghdadi MD | Specialist | Past | Accepting new patients |
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.
-
- Specialist
- Tacoma, WA
- NPI 1851618920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215734400000",
"number": "1376650697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1802 YAKIMA AVE",
"address_2": "SUITE 300",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054499",
"telephone_number": "253-383-5628",
"fax_number": "253-383-5687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1802 YAKIMA AVE",
"address_2": "SUITE 300",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054499",
"telephone_number": "253-383-5628",
"fax_number": "253-383-5687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAGHDADI",
"first_name": "M.",
"middle_name": "TAREK",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2008-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "00026186",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PTAN",
"identifier": "G001001816",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVDUAL PTAN",
"identifier": "GAB11662",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1055185",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.