NPIMap

Individual provider Active NPI

Tariq Nawaz, M.D.

  • Nephrology Physician
  • Mechanicsburg, PA
National Provider Identifier
1477769735
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD426596 Issued in PA
Practice address
5006 Chloe LN
Mechanicsburg, PA 17050-1680
Phone
(717) 317-7330
NPI assigned
May 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD426596 PA
Hospitalist Physician 208M00000X MD426596 PA
Nephrology Physician 207RN0300X MD426596 PA Primary

Addresses

Primary practice location

5006 Chloe LN
Mechanicsburg, PA 17050-1680

Mailing address

5006 Chloe LN
Mechanicsburg, PA 17050-1680
Phone (717) 317-7330

Other identifiers 2

IdentifierTypeStateIssuer
102244670MedicaidPA
11779222OtherCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20080905000045 PA Practitioner - Nephrology 6608969316 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Kidney Disease and Hypertension LLCGroup PAC ID 3577664184, 8 clinicians

Practice addresses (Care Compare)

1023 Mumma Rd
Wormleysburg, PA 17043-1164
Phone (717) 737-3377

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Jun 6, 2010 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jun 6, 2010 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Pinnacle Health Medical Services Internal Medicine Current Accepting new patients
Wellspan Medical Group CurrentSince Jan 20, 2014 Accepting new patients
Wellspan Medical Group Nephrology CurrentSince Jan 20, 2014 Accepting new patients
Pinnacle Health Hospitalist Services LLC Internal Medicine CurrentSince Aug 1, 2013 Accepting new patients
Associates in Kidney Diseases Hypertension and Intensive Care Medicine Nephrology PastSince Sep 15, 2008 Accepting new patients
Inpatient Consultants of Missouri Inc Internal Medicine Past Accepting new patients
Kantor Nephrology Consultants, LTD Nephrology PastSince Dec 6, 2012 Accepting new patients
Practice Management Affiliates Consulting Inc Internal Medicine PastSince Sep 1, 2006 Accepting new patients

Locations

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

2110 Harrisburg Pike
Ste 310
Lancaster, PA 17601
Phone (717) 544-3232

4300 Londonderry Rd
Lower Paxton, PA 17109
Phone (717) 597-7044

501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400

601 E Main St
Waynesboro, PA 17268
Phone (717) 765-5085

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1600 S George St
York, PA 17403
Phone (717) 848-3615

380 Saint Charles Way
York, PA 17402
Phone (717) 747-5651

Organizations & group practices 12

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 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1477769735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5006 CHLOE LN",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170501680",
            "telephone_number": "717-317-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5006 CHLOE LN",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170501680",
            "telephone_number": "717-317-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAWAZ",
        "first_name": "TARIQ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD426596",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD426596",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD426596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102244670",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11779222",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.