Active NPI
Rayhan A. Tariq, M.D.
- Pain Medicine (Anesthesiology) Physician
- Laurel, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 27726
- Practice address
- 1002 Jefferson Street
Suite 300
Laurel, MS 39440-4306 - Phone
- (601) 425-7500
- NPI assigned
- Jun 20, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 11550462-1205 | UT | |
| Surgery Physician | 208600000X | MT211207 | PA | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 27726 | MS | Primary |
Addresses
Primary practice location
1002 Jefferson Street
Suite 300
Laurel, MS 39440-4306
Mailing address
PO Box 247
Laurel, MS 39441-0247
Phone (601) 425-7550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1002 Jefferson St
Laurel, MS 39440-4306
1203 Ave B
Ellisville, MS 39437-2080
Phone (601) 477-2226
1203 Jefferson St
Laurel, MS 39440-4354
Phone (601) 649-2863
1220 Jefferson St
Laurel, MS 39440-4355
Phone (601) 399-6169
1410 Jefferson St
Laurel, MS 39440-4243
Phone (601) 425-7522
1420 Jefferson St
Laurel, MS 39440-4243
Phone (601) 649-6823
1430 Jefferson St
Laurel, MS 39440-4243
Phone (601) 425-2273
1440 Jefferson St
Laurel, MS 39440-4243
Phone (601) 649-6213
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 61 |
| Varicose vein removal | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT211207 | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Central Clinics, Inc | Current | Accepting new patients | |
| South Central Clinics, Inc. | Current | Accepting new patients | |
| South Central Clinics, Inc | Current | Accepting new patients | |
| Lifelinc Anesthesia, PLLC | Current | Accepting new patients | |
| South Central Clinics, Inc | Current | Accepting new patients | |
| South Central Clinics, Inc. | Past | Accepting new patients | |
| South Central Clinics, Inc | Past | Accepting new patients |
Locations
634 Leigh Dr
Columbus, MS 39705
Phone (601) 978-3393
1203 B Ave
Ellisville, MS 39437
Phone (601) 477-8553
1710 W 12th St
Laurel, MS 39440
Phone (601) 369-2021
3340 Players Club Pkwy
Ste 350
Memphis, TN 38125
Phone (901) 207-2017
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Ellisville, MS
- NPI 1801226287
-
- Rural Health Clinic/Center
- Laurel, MS
- NPI 1033903547
-
- Pain Medicine Physician
- Laurel, MS
- NPI 1508273335
-
- Ophthalmology Physician
- Laurel, MS
- NPI 1568004893
-
- Hospitalist Physician
- Laurel, MS
- NPI 1659898138
-
- Rural Health Clinic/Center
- Ellisville, MS
- NPI 1427098003
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Hattiesburg, MS
- NPI 1760416754
-
- Home Health Agency
- Laurel, MS
- NPI 1093790404
-
- General Acute Care Hospital
- Laurel, MS
- NPI 1619973542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630281600000",
"number": "1508216680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 247",
"city": "LAUREL",
"state": "MS",
"postal_code": "394410247",
"telephone_number": "601-425-7550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 JEFFERSON STREET",
"address_2": "SUITE 300",
"city": "LAUREL",
"state": "MS",
"postal_code": "394404306",
"telephone_number": "601-425-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARIQ",
"first_name": "RAYHAN",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-20",
"last_updated": "2021-08-30",
"certification_date": "2021-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "UT",
"license": "11550462-1205",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MT211207",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "MS",
"license": "27726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laurel, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.