Individual provider Active NPI

Tarek Eldawy, M.D.

  • Medical Oncology Physician
  • Oviedo, FL
National Provider Identifier
1669416459
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
ME94574 Issued in FL
Practice address
2572 W State Road 426 Ste 3080
Oviedo, FL 32765-8312
Phone
(407) 565-8389
Fax
(407) 565-2285
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X ME94574 FL
Medical Oncology Physician 207RX0202X ME94574 FL Primary

Addresses

Primary practice location

2572 W State Road 426 Ste 3080
Oviedo, FL 32765-8312

Mailing address

PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200

Other practice location 1

1545 Airport Blvd
Suite 2000
Pensacola, FL 32504-8615
Phone (850) 416-6933

Other practice location 2

6400 Sanger Rd Ste A-2400
Orlando, FL 32827-7400
Phone (407) 735-5695

Other practice location 3

750 Orienta Ave
Altamonte Springs, FL 32701-5621
Phone (407) 553-7710

Other identifiers 1

IdentifierTypeStateIssuer
276094100MedicaidFL

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20060824000083 FL Practitioner - Hematology/OncologyPractitioner - Internal Medicine 3476556887 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Sacred Heart Health System IncGroup PAC ID 3779491386, 373 clinicians
Florida Cancer Specialists and Research Institute, LLCGroup PAC ID 2567356058, 464 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

1545 Airport Blvd
Pensacola, FL 32504-8615
Phone (850) 416-7101

2572 W State Rd
426 Suite 3080
Oviedo, FL 32765-8312
Phone (407) 565-2192

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME94574FLMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health System Inc CurrentSince Oct 1, 2007 Accepting new patients
Sacred Heart Health System, Inc. Hematology & Oncology CurrentSince Oct 1, 2007 Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Hematology & Oncology CurrentSince Sep 18, 2023 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Hematology & Oncology Past Accepting new patients

Locations

750 Orienta Ave
Altamonte Springs, FL 32701
Phone (407) 553-7710

3840 Broadway
Fort Myers, FL 33901
Phone (239) 275-6400

4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916
Phone (239) 432-8500

6400 Sanger Rd
Ste A2400
Orlando, FL 32827
Phone (407) 735-5695

2572 W State Road 426
Ste 3080
Oviedo, FL 32765
Phone (407) 565-2192

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

1545 Airport Blvd
Pensacola, FL 32504
Phone (850) 416-6933

4501 N Davis Hwy
Ste A
Pensacola, FL 32503
Phone (850) 476-9000

1545 Airport Blvd
#2000
Pensacola, FL 32504
Phone (850) 416-6933

1545 Airport Blvd
Ste 2000
Pensacola, FL 32504
Phone (850) 416-6933

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: teldawy@shhpens.direct.varian.com

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1669416459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2572 W STATE ROAD 426 STE 3080",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658312",
            "telephone_number": "407-565-8389",
            "fax_number": "407-565-2285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1545 Airport Blvd",
            "address_2": "Suite 2000",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325048615",
            "country_code": "US",
            "telephone_number": "850-416-6933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6400 Sanger Rd Ste A-2400",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328277400",
            "country_code": "US",
            "telephone_number": "407-735-5695",
            "fax_number": "407-851-4630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 Orienta Ave",
            "address_purpose": "LOCATION",
            "city": "Altamonte Springs",
            "state": "FL",
            "postal_code": "327015621",
            "country_code": "US",
            "telephone_number": "407-553-7710",
            "fax_number": "866-553-7710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELDAWY",
        "first_name": "TAREK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME94574",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "FL",
            "license": "ME94574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276094100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

Verify at the official NPI Registry.