Tara Maher Elia, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301509723 Issued in MI

Practice address

43494 Woodward Ave Ste 106
Bloomfield Township, MI 48302-5053

Phone

(248) 590-0911

Fax

(248) 590-0912

NPI assigned

Apr 22, 2020

Sex

Female

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 MI

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Sylvan Lake Family Practice PLC

  • Family Medicine Physician
  • Sylvan Lake, MI
  • NPI 1699880989
  Medicare reassignment NPD
• Ashok Gupta, M.D., P.L.L.C.

  • Internal Medicine Physician
  • Keego Harbor, MI
  • NPI 1114118981
  NPD (past)

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1497375166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43494 WOODWARD AVE STE 106",
            "city": "BLOOMFIELD TOWNSHIP",
            "state": "MI",
            "postal_code": "483025053",
            "telephone_number": "248-590-0911",
            "fax_number": "248-590-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43494 WOODWARD AVE STE 106",
            "city": "BLOOMFIELD TOWNSHIP",
            "state": "MI",
            "postal_code": "483025053",
            "telephone_number": "248-590-0911",
            "fax_number": "248-590-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIA",
        "first_name": "TARA",
        "middle_name": "MAHER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-22",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301509723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra J Colvard, LPC
• Costco Wholesale Corporation
• Anahid Lisa Derbabian, LLPC
• Amber Donahue, LMSW
• Dr. James Herman, P.L.L.C
• Suzanne Berri Fellows, PA-C, NBC-HWC
• Christine Elizabeth Fisk, MS LLP
• Jean Gash, NURSE PRACTITIONER
• Hamilton Virgil Gayden III
• Morgan Goodman

• Family Medicine Physician in Bloomfield Township, MI
• Providers in Bloomfield Township, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.