Active NPI
Tarik Yahia Farrag, M.D.
- Otolaryngology Physician
- Sarasota, FL
National Provider Identifier
1821226358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- ME120244
- Practice address
- 1901 Floyd St Ste 304
Sarasota, FL 34239-2932 - Phone
- (941) 262-0500
- Fax
- (941) 262-0505
- NPI assigned
- Jun 23, 2009
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 32237 | AL | |
| Emergency Medicine Physician | 207P00000X | 13444 | IL | |
| Otolaryngology Physician | 207Y00000X | 32237 | AL | |
| Otolaryngology Physician | 207Y00000X | ME120244 | FL | Primary |
Addresses
Primary practice location
1901 Floyd St Ste 304
Sarasota, FL 34239-2932
Mailing address
PO Box 947407
Atlanta, GA 30394-7407
Phone (941) 917-2600
Other practice location 1
820 W Washington St
Eufaula, AL 36027-1822
Phone (334) 443-0335
Other practice location 2
14541 Sanctuary Dr
Orland Park, IL 60467-7224
Phone (708) 966-2800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821226358 | Other | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13444 | IL | MD | Emergency Medicine Physician |
| 32237 | AL | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erx Group, LLC | Emergency Medicine | Past | Accepting new patients |
| United Florala, Inc | Past | Accepting new patients |
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.
-
- Emergency Medicine Physician
- Alma, GA
- NPI 1760823082
-
dba Florala Memorial Hospital
- Medicare Defined Swing Bed Hospital Unit
- Florala, AL
- NPI 1477835825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671667200000",
"number": "1821226358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 947407",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303947407",
"telephone_number": "941-917-2600",
"fax_number": "941-917-7884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 FLOYD ST STE 304",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342392932",
"telephone_number": "941-262-0500",
"fax_number": "941-262-0505"
}
],
"practiceLocations": [
{
"address_1": "820 W Washington St",
"address_purpose": "LOCATION",
"city": "Eufaula",
"state": "AL",
"postal_code": "360271822",
"country_code": "US",
"telephone_number": "334-443-0335",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14541 Sanctuary Dr",
"address_purpose": "LOCATION",
"city": "Orland Park",
"state": "IL",
"postal_code": "604677224",
"country_code": "US",
"telephone_number": "708-966-2800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARRAG",
"first_name": "TARIK",
"middle_name": "YAHIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-23",
"last_updated": "2022-12-22",
"certification_date": "2022-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AL",
"license": "32237",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "13444",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "AL",
"license": "32237",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "FL",
"license": "ME120244",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1821226358",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.