Tarik Al-Kalla, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

S1034 Issued in TX

Practice address

12606 Greenville Ave Ste 205
Dallas, TX 75243-1927

Phone

(214) 971-8802

Fax

(949) 703-7227

NPI assigned

Nov 19, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

General Surgery

Education

Texas Tech University Health Science Center School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor Scott and White Medical Center McKinney Hospital, MC Kinney, TX, CCN 670082
• Medical City Plano Hospital, Plano, TX, CCN 450651
• Texas Health Presbyterian Hospital Flower Mound Hospital, Flower Mound, TX, CCN 670068

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7981/brand/1/csg/1/fhir/r4

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.

• Optimal Weight Loss and Surgery Consultants LLC

  • Surgery Physician
  • Dallas, TX
  • NPI 1457107765

  Multi-Specialty, TX

  Medicare reassignment NPD Authorized official
• Folahan Ayoola MD PA

  • Surgery Physician
  • Denton, TX
  • NPI 1922439389

  Multi-Specialty, TX

  Medicare reassignment NPD

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

• Baylor Scott & White Medical Centers - Greater North Texas

  • General Acute Care Hospital
  • McKinney, TX
  • NPI 1124305065

  Hospital

  Care Compare affiliation
• Columbia Medical Center of Plano Subsidiary LP

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1699726406

  Hospital

  Care Compare affiliation
• Flower Mound Hospital Partners, LLC

  • General Acute Care Hospital
  • Flower Mound, TX
  • NPI 1902047376

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1760726418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12606 GREENVILLE AVE STE 205",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431927",
            "telephone_number": "214-971-8802",
            "fax_number": "949-703-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12606 GREENVILLE AVE STE 205",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431927",
            "telephone_number": "214-971-8802",
            "fax_number": "949-703-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-KALLA",
        "first_name": "TARIK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-19",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "1174887624",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2018025701",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "S1034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leen Al-Hafez, M.D
• Ibtisam Al-Hashimi, BDS, MS, PHD
• Amer Mohammad Al-Hreish, DO
• Khaled Mohammad Al-Hreish
• Qabas Al-Jobori
• Maytham Abed Al-Kubaisi, M.D
• Mohammed M Al-Obaidi, DMD, MD
• Ahmed Maher Hoory Al-Rawi
• Camli Al-Sadek, MD
• Farah Al-Saffar, MD, MPH

• All providers in Dallas, TX
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.

Verify at the official NPI Registry.