Malak Tadres, CNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

APRN.CNP.0029909 Issued in OH

Practice address

7018 Optimara Dr
Pickerington, OH 43147-7716

Phone

(614) 598-2669

NPI assigned

May 6, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

Practice roles

Locations

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.

• Mount Carmel Healthproviders Two LLC

  dba Mount Carmel Medical Group

  • Cardiovascular Disease Physician
  • Columbus, OH
  • NPI 1134154750
  Medicare reassignment NPD
• Mount Carmel Healthproviders Two LLC

  dba Mount Carmel Breast Surgery at West

  • Surgery Physician
  • Columbus, OH
  • NPI 1528203981
  NPD

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1477299022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7018 OPTIMARA DR",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477716",
            "telephone_number": "614-598-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7018 OPTIMARA DR",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477716",
            "telephone_number": "614-598-2669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5900 Bis Rd SW",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "OH",
            "postal_code": "431309606",
            "country_code": "US",
            "telephone_number": "740-497-5436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TADRES",
        "first_name": "MALAK",
        "name_prefix": "Dr.",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "APRN.CNP.0029909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunshine Health Services LLC
• Marisa Nicole Svoboda
• Chelsea Swain
• Jessica Elaine Swiger, PA-C
• Terra S Tadlock-Smith, LPCC-S
• Shereen Tadres
• Afaf Tadros
• Cassidy Nicole Talamonti
• Talk 'N Play Therapy, LLC (Talk 'N Play Therapy)
• Tamara L Murphy

• Acute Care Nurse Practitioner in Pickerington, OH
• Providers in Pickerington, OH by specialty
• Acute Care Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.