Tarik Omar Hashem, M.D.
Individual provider Active NPI Emergency Medicine Physician · Philadelphia, PA
NPI 1831453646 · NPPES record last updated Jun 26, 2012
Key facts
- NPI
- 1831453646
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- MT202875 (PA)
- Practice address
- 230 N Broad St
Philadelphia, PA 19102-1121 - Phone
- (215) 762-7000
- NPI assigned
- Jun 26, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emergency Medicine Services of FL LLC
Practice addresses (Care Compare)
12922 Sheldon Rd
Tampa, FL 33626-3715
Phone (727) 834-4900
Hospital & facility affiliations
- HCA Florida Trinity Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150915000722 | FL | Practitioner - Emergency Medicine | 5991012585 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT202875 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| W4P LLC | Emergency Medicine | Current |
Accepting new patients |
| Emergency Medicine Services of FL, LLC | Emergency Medicine | Current |
Accepting new patients |
Locations
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
35750 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 789-8420
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002
12922 Sheldon Rd
Tampa, FL 33626
Phone (813) 282-2850
9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MT202875 | PA | Yes |
Addresses
Primary practice location
230 N Broad St
Philadelphia, PA 19102-1121
Mailing address
1506 Green St Apt 2F
Philadelphia, PA 19130-4037
Other providers in Philadelphia, PA
- Daphne Hasbani
- Edith D Hasbrouck
- Nicole Hasbrouck
- Eric Samuel Hasbun
- Daisuke Hasegawa
- Kalunji Hashim
- Daniel A Hashimoto
- Danielle Lasalle Hashmi
- Nazish Hashmi
- Sohaib Hashmi
All providers in Philadelphia, PA · Emergency Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.