Active NPI
Abdul Tariq, D.O
- Neurology Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- DO2378
- Practice address
- 4275 Burnham Ave Ste 230
Las Vegas, NV 89119-5400 - Phone
- (702) 956-0996
- Fax
- (702) 965-2216
- NPI assigned
- May 14, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | DO2378 | NV | Primary |
Addresses
Primary practice location
4275 Burnham Ave Ste 230
Las Vegas, NV 89119-5400
Mailing address
390 Otsego CT
Henderson, NV 89012-4862
Other practice location 1
825 N Gibson Rd Ste 301
Henderson, NV 89011-1708
Phone (702) 965-0996
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- 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
- Neurology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1621 E Flamingo Rd
Suite 16a
Las Vegas, NV 89119-5276
Phone (702) 956-0996
Hospital & facility affiliations
- Saint Rose Dominican Hospitals - Siena Campus
- Saint Rose Dominican Hospitals - San Martin Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 64.77 of 100
- Quality
- 11.67
- Improvement activities
- 40
- Cost
- 74.47
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurology Clinics of Nevada LLC | Neurology | Current | Accepting new patients |
| Sunrise Mountainview Hospital, Inc. | Past | Accepting new patients |
Locations
825 N Gibson Rd
Ste 301
Henderson, NV 89011
Phone (702) 763-2002
620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506
4275 Burnham Ave
Ste 230
Las Vegas, NV 89119
Phone (702) 448-5578
1621 E Flamingo Rd
Ste 16A
Las Vegas, NV 89119
Phone (702) 478-9971
Organizations & group practices 2
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.
-
- Neurology Physician
- Las Vegas, NV
- NPI 1487139499
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1831143817
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1528101284
-
- General Acute Care Hospital
- Henderson, NV
- NPI 1770626426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580342400000",
"number": "1669883534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 OTSEGO CT",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890124862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4275 BURNHAM AVE STE 230",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891195400",
"telephone_number": "702-956-0996",
"fax_number": "702-965-2216"
}
],
"practiceLocations": [
{
"address_1": "825 N Gibson Rd Ste 301",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "NV",
"postal_code": "890111708",
"country_code": "US",
"telephone_number": "702-965-0996",
"fax_number": "702-965-2216",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TARIQ",
"first_name": "ABDUL",
"credential": "D.O",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-14",
"last_updated": "2020-01-30",
"certification_date": "2020-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NV",
"license": "DO2378",
"primary": true
}
],
"identifiers": [],
"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 Jan 30, 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.
- 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.