Individual provider Active NPI

Tariq S. Alfarra, DO

  • Interventional Pain Medicine Physician
  • Temple, TX
National Provider Identifier
1447757018
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
322019 Issued in NY
Practice address
2401 S 31St St # Ms 01161B
Temple, TX 76508-3625
Phone
(254) 724-8797
NPI assigned
Apr 10, 2018
Last updated
Jul 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X H0094037 MD
Interventional Pain Medicine Physician 208VP0014X 322019 NY Primary
Interventional Pain Medicine Physician 208VP0014X 74475 MN

Addresses

Primary practice location

2401 S 31St St # Ms 01161B
Temple, TX 76508-3625

Mailing address

10 Union SQ E Ste 5P
New York, NY 10003-3314
Phone (212) 844-6737

Other practice location 1

5067 55th St NW
Rochester, MN 55901-3809
Phone (507) 292-7070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20231102002355 NY Practitioner - Interventional Pain ManagementPractitioner - Physical Medicine and Rehabilitation 7719367382 Reassigns benefits to 2 organizations
I20250630002247 MN Practitioner - Interventional Pain Management 7719367382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
University of North Texas HSC, College of Osteopathic Med, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cayuga Medical Associates PCGroup PAC ID 6709897960, 278 clinicians
Olmsted Medical CenterGroup PAC ID 8527970060, 324 clinicians

Practice addresses (Care Compare)

10 Union SQ E
New York, NY 10003-3314
Phone (212) 844-8750

101 Dates Dr
Ithaca, NY 14850-1342
Phone (607) 274-4296

1113 Nys Rte
Suite 13
Cortland, NY 13045-3542
Phone (607) 428-8004

1650 4TH St SE
Rochester, MN 55904-4700
Phone (507) 285-8485

310 Taughannock Blvd
Suite 4
Ithaca, NY 14850-3251
Phone (607) 269-0100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0094037MDMDInterventional Pain Medicine Physician
74475MNMDInterventional Pain Medicine Physician
322019NYMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 22, 2023 Accepting new patients
Cayuga Medical Associates, PC CurrentSince Dec 30, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 22, 2023 Accepting new patients
Olmsted Medical Center CurrentSince Jul 1, 2025 Accepting new patients

Locations

1650 4th St SE
Rochester, MN 55904
Phone (507) 285-8485

210 9th St SE
Rochester, MN 55904
Phone (507) 529-6616

5067 55th St NW
Rochester, MN 55901
Phone (507) 292-7070

3074 31st St
Fl 2
Astoria, NY 11102
Phone (718) 989-8515

310 Taughannock Blvd
Fl 4
Ithaca, NY 14850
Phone (607) 269-0100

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

10 Union Sq E
Frnt 5
New York, NY 10003
Phone (212) 253-6800

10 Union Sq E
Ste 5P
New York, NY 10003
Phone (212) 844-8618

380 2nd Ave
Ste 1000
New York, NY 10010
Phone (212) 254-3570

5 E 98th St
Fl 6
New York, NY 10029
Phone (212) 241-2221

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: talfarra26665@direct.olmmed.org
  • Direct secure messaging: talfarra535529@direct.hopkinsmedicine.org
  • Direct secure messaging: tariq.alfarra.1@29996.direct.athenahealth.com

Organizations & group practices 4

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 4

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": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1447757018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 UNION SQ E STE 5P",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033314",
            "telephone_number": "212-844-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S 31ST ST # MS 01161B",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765083625",
            "telephone_number": "254-724-8797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5067 55th St NW",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559013809",
            "country_code": "US",
            "telephone_number": "507-292-7070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALFARRA",
        "first_name": "TARIQ",
        "middle_name": "S.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-10",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MD",
            "license": "H0094037",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "322019",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MN",
            "license": "74475",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.