Tarek Elseweifi, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019.031545 Issued in IL

Practice address

720 Eskenazi Ave Dept H2451
Indianapolis, IN 46202-5190

Phone

(317) 880-9472

NPI assigned

Mar 22, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Chicagoland Dental Associates PC

  • Dentist
  • Chicago, IL
  • NPI 1568690790
  NPD (past)

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597536000000",
    "number": "1558865501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 ESKENAZI AVE DEPT ROOMH245",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 ESKENAZI AVE DEPT H2451",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025190",
            "telephone_number": "317-880-9472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSEWEIFI",
        "first_name": "TAREK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-22",
        "last_updated": "2020-08-16",
        "certification_date": "2020-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12013467A",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.031545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Mary Elsakr, MD
• Marwa M Elsayed, MD
• Kristina K Elsbury, LCSW
• Rene F Elsbury, LCSW
• Macy Elser
• Ashli Nichole Elsey, MA, BCBA
• Marwa M O Elsharkasi, BDS, MSD, ABOD
• Amro Elshoury, MD
• Abigail Elsing
• Gregory B Elsner, MD

• Dentist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2020; 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.