Organization Active NPI

Tariq & Associates P C

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1619146578
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10625 Issued in NV
Legal business name
TARIQ & ASSOCIATES P C
Practice address
2600 S Rainbow Blvd
Suite #108
Las Vegas, NV 89146-4006
Phone
(702) 921-6829
Fax
(702) 921-6828
NPI assigned
Feb 25, 2008
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Nadeem Tariq, MD PCNPI 1750330726
Title
Managing Member
Phone
(702) 921-6829

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 10625 NV Primary
Hospitalist PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208M00000X 10625 NV

Addresses

Primary practice location

2600 S Rainbow Blvd
Suite #108
Las Vegas, NV 89146-4006

Mailing address

1930 Village Center Cir
3-434
Las Vegas, NV 89134-6238
Phone (702) 921-6829

Other identifiers 1

IdentifierTypeStateIssuer
100500792MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080327000286 NV Part B Supplier - Clinic/Group Practice 9436235751 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

1930 Village Center Cir
#3434
Las Vegas, NV 89134

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1619146578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 VILLAGE CENTER CIR",
            "address_2": "3-434",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346238",
            "telephone_number": "702-921-6829",
            "fax_number": "702-921-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S RAINBOW BLVD",
            "address_2": "SUITE #108",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891464006",
            "telephone_number": "702-921-6829",
            "fax_number": "702-921-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARIQ & ASSOCIATES P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "TARIQ",
        "authorized_official_first_name": "NADEEM",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-921-6829",
        "authorized_official_credential": "MD PC"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "10625",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "NV",
            "license": "10625",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100500792",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.