Individual provider Active NPI

Tarek Ali Chahine, MD

  • Family Medicine Physician
  • Quincy, IL
National Provider Identifier
1699272237
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036172016 Issued in IL
Practice address
1025 Maine St
Quincy, IL 62301-4096
Phone
(319) 524-8430
NPI assigned
Apr 10, 2018
Last updated
Sep 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301505421 MI
Family Medicine Physician 207Q00000X 52631 IA
Family Medicine Physician 207Q00000X 036172016 IL Primary

Addresses

Primary practice location

1025 Maine St
Quincy, IL 62301-4096

Mailing address

1025 Maine St
Quincy, IL 62301-4096
Phone (319) 524-8430

Other practice location 1

1603 Morgan St Ste 3
Keokuk, IA 52632-3433
Phone (319) 524-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IA, IL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220128001555 MI Practitioner - Family Practice 8426440215 Reassigns benefits to 1 organization
I20240214000505 IA Practitioner - Family Practice 8426440215 Reassigns benefits to 1 organization
I20241106000884 IL Practitioner - Family Practice 8426440215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1025 Maine St
Quincy, IL 62301-4038

1025 Maine St
Quincy, IL 62301-4096

1603 Morgan St
Keokuk, IA 52632-3433
Phone (319) 524-4300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301505421MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Quincy Physicians & Surgeons Clinic, PLLC CurrentSince Feb 12, 2024 Accepting new patients
Comprehensive Knee Centers LLC CurrentSince Feb 28, 2022 Accepting new patients
Quincy Physicians & Surgeons Clinic, PLLC CurrentSince Feb 12, 2024 Accepting new patients
Quincy Physicians & Surgeons Clinic, PLLC Past Accepting new patients

Locations

8726 NW 26th St
Ste 16
Doral, FL 33172
Phone (305) 477-7976

1600 Morgan St
Keokuk, IA 52632
Phone (319) 524-7150

1603 Morgan St
Ste 3
Keokuk, IA 52632
Phone (319) 524-3796

1025 Maine St
Quincy, IL 62301
Phone 21722265503163

4520 Firestone St
Dearborn, MI 48126
Phone (313) 436-0043

26631 Southfield Rd
Lathrup Village, MI 48076
Phone (248) 552-8195

Interoperability endpoints

  • Direct secure messaging: tchahine1049259@direct.unitypoint.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1699272237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 MAINE ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014096",
            "telephone_number": "319-524-8430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MAINE ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014096",
            "telephone_number": "319-524-8430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1603 Morgan St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Keokuk",
            "state": "IA",
            "postal_code": "526323433",
            "country_code": "US",
            "telephone_number": "319-524-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAHINE",
        "first_name": "TAREK",
        "middle_name": "ALI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-10",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301505421",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "52631",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036172016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, IL

Sources for this page

Verify at the official NPI Registry.