Active NPI
Tariq Majed Jaber, MD
- Internal Medicine Physician
- Fort Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- TRN24829
- Practice address
- 1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510 - Phone
- (954) 355-4400
- NPI assigned
- Nov 20, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | TRN24829 | FL | Primary |
Addresses
Primary practice location
1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510
Mailing address
251 S Cypress Rd Apt 144
Pompano Beach, FL 33060-7086
Phone (947) 947-6629
Other practice location 1
320 E North Ave
Pittsburgh, PA 15212-4772
Phone (412) 359-4008
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12221 N Mopac Expy
St. David'S North Austin Medical Ce
Austin, TX 78758-2401
Phone (512) 901-1000
Hospital & facility affiliations
- St David'S Medical Center
- St David'S South Austin Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TRN24829 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cogent Healthcare of Texas, PA | Internal Medicine | Current | Accepting new patients |
Locations
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530
2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
Organizations & group practices 1
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
- Dallas, TX
- NPI 1992722953
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Austin, TX
- NPI 1679528889
-
- General Acute Care Hospital
- Austin, TX
- NPI 1720033947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586131200000",
"number": "1780153718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 S CYPRESS RD APT 144",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330607086",
"telephone_number": "947-947-6629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 S ANDREWS AVE",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333162510",
"telephone_number": "954-355-4400"
}
],
"practiceLocations": [
{
"address_1": "320 E North Ave",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152124772",
"country_code": "US",
"telephone_number": "412-359-4008",
"fax_number": "412-359-4136",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JABER",
"first_name": "TARIQ",
"middle_name": "MAJED",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-20",
"last_updated": "2020-04-06",
"certification_date": "2020-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "TRN24829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.