Tarek Salim Hadla, M.D.

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

4301095806 Issued in MI

Practice address

29829 Telegraph Rd
Southfield, MI 48034-1330

Phone

(248) 336-4000

Fax

(248) 581-8839

NPI assigned

Apr 18, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 8

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

Specialty

Family PracticeAlso: Internal Medicine, Physical Medicine and Rehabilitation

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Exclusive Physicians PLLCGroup PAC ID 9335279942, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tarek.hadla.1@33060.direct.athenahealth.com

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.

• Exclusive Physicians PLLC

  • Multi-Specialty Clinic/Center
  • Ferndale, MI
  • NPI 1811226749

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Michigan Sports Medicine PC

  • Sports Medicine (Family Medicine) Physician
  • Dearborn Heights, MI
  • NPI 1326481623
  Medicare reassignment NPD Authorized official
• Providers Tek Inc.

  • Physical Medicine & Rehabilitation Physician
  • Dearborn, MI
  • NPI 1699283283
  Medicare reassignment NPD
• Riverview Neuromuscular Pain Center PLLC

  • Physical Medicine & Rehabilitation Physician
  • Detroit, MI
  • NPI 1447827894
  Medicare reassignment NPD
• United Medical Surgical Specialists PLLC

  • Diagnostic Radiology Physician
  • Southfield, MI
  • NPI 1992671614
  Medicare reassignment NPD
• Michigan Sports Medicine PC

  • Durable Medical Equipment & Medical Supplies
  • Dearborn Heights, MI
  • NPI 1487150686
  NPD Authorized official
• Epic Care Centers Inc

  • Family Medicine Physician
  • Hamtramck, MI
  • NPI 1659145506
  Medicare reassignment
• Oakwood Group VIII LLC

  • Family Medicine Physician
  • Dearborn, MI
  • NPI 1649577891
  NPD (past)

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1568636629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18000 W 9 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754009",
            "telephone_number": "248-336-4000",
            "fax_number": "248-336-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29829 TELEGRAPH RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341330",
            "telephone_number": "248-336-4000",
            "fax_number": "248-581-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADLA",
        "first_name": "TAREK",
        "middle_name": "SALIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-18",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301095806",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "MI",
            "license": "4301095806",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125052101",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN IND",
            "identifier": "2509511472",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IND",
            "identifier": "2509511472",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE INDIVIDUAL #",
            "identifier": "P00820812",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERICIAL",
            "identifier": "1568636629",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP #",
            "identifier": "DP595",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE IND PIN",
            "identifier": "P00950697",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15686363329",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "IL2613",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa Ann Habib, M.S., L.L.P.,C.B.I.S
• Brienne Hackett, LMSW
• Ashley Hadd
• Jiries Issa Haddad, DO
• Kimberly Hadfield
• Lauren Hado, FNP-BC
• Saif Hasnain Hafeez, MD
• John Gerald Hagan IV, DO
• Angela Hagar, LMSW
• Sharon Louise Hagen, MA,LPC

• Sports Medicine (Family Medicine) Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Sports Medicine (Family Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.

Verify at the official NPI Registry.