Active NPI
Tarek R Khater, M.D.,
- General Practice Physician
- New York, NY
National Provider Identifier
1720456049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 128919
- Practice address
- 229 E 85TH St
672
New York, NY 10028-9600 - Phone
- (917) 960-0821
- Fax
- (646) 952-2004
- NPI assigned
- Sep 2, 2015
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 2010966 PTAL | CA | |
| Sonography Specialist/Technologist Cardiovascular | 246XS1301X | CCI: 00093517 | NC | |
| Sonography Radiologic Technologist | 2471S1302X | ARDMS: 176911 | MD | |
| General Practice Physician | 208D00000X | 128919 | NY | Primary |
Addresses
Primary practice location
229 E 85TH St
672
New York, NY 10028-9600
Mailing address
229 E 85TH St
672
New York, NY 10028-9600
Phone (917) 960-0821
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128919 | Other | NY | NYC MRC |
| 3517284 | Other | NY | DBA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010966 PTAL | CA | MD | General Practice Physician |
| 128919 | NY | MD | General Practice Physician |
| CCI: 00093517 | NC | MD | Sonography Specialist/Technologist |
| ARDMS: 176911 | MD | MD | Sonography Radiologic Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Internal Medicine Solutions P.C. | Current | Accepting new patients | |
| Tarek R Khater | Current | Accepting new patients |
Locations
6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010
275 W Merrick Rd
Freeport, NY 11520
Phone (516) 377-2946
154 Prospect Ave
Plattsburgh, NY 12901
Phone (518) 563-5440
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.
-
- Internal Medicine Physician
- Woodside, NY
- NPI 1467821694
-
dba Tarek R Khater Medical Services
- Health Service Clinic/Center
- Astoria, NY
- NPI 1679933998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770854400000",
"number": "1720456049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 E 85TH ST",
"address_2": "672",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100289600",
"telephone_number": "917-960-0821",
"fax_number": "646-952-2004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 E 85TH ST",
"address_2": "672",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100289600",
"telephone_number": "917-960-0821",
"fax_number": "646-952-2004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHATER",
"first_name": "TAREK",
"middle_name": "R",
"credential": "M.D.,",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-02",
"last_updated": "2026-02-12",
"certification_date": "2020-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "2010966 PTAL",
"primary": false
},
{
"code": "246XS1301X",
"taxonomy_group": "",
"desc": "Specialist/Technologist Cardiovascular, Sonography",
"state": "NC",
"license": "CCI: 00093517",
"primary": false
},
{
"code": "2471S1302X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Sonography",
"state": "MD",
"license": "ARDMS: 176911",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NY",
"license": "128919",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYC MRC",
"identifier": "128919",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DBA",
"identifier": "3517284",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.