Active NPI
Tarek Eldawy, M.D.
- Medical Oncology Physician
- Oviedo, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- ME94574
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 276094100 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ability Health Services, IncAbility Health Services and Rehabilitation LP
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
- Sacred Heart Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME94574 | FL | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacred Heart Health System Inc | Current | Accepting new patients | |
| Sacred Heart Health System, Inc. | Hematology & Oncology | Current | Accepting new patients |
| Sacred Heart Health System, Inc. | Current | Accepting new patients | |
| Florida Cancer Specialists & Research Institute, LLC | Hematology & Oncology | Current | 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
- 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.
-
- Medical Oncology Physician
- Cape Coral, FL
- NPI 1760590962
Hematology & Oncology
-
- Ambulatory Family Planning Facility
- Pensacola, FL
- NPI 1962453308
-
- Community/Retail Pharmacy
- Pensacola, FL
- NPI 1366260739
-
- Hematology & Oncology Physician
- Pensacola, FL
- NPI 1326099763
-
- Medical Oncology Physician
- Bradenton, FL
- NPI 1508973231
Hematology & Oncology
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1922032424
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.