Tarik David Madni, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

Q8549 Issued in TX

Practice address

245 W State Highway 114 Ste 100
Southlake, TX 76092-3639

Phone

(817) 912-1200

Fax

(817) 997-8791

NPI assigned

Apr 19, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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

Plastic and Reconstructive Surgery

Education

Emory University School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor Scott & White Medical Center Grapevine Hospital, Grapevine, TX, CCN 450563
• Baylor Scott & White Medical Center Plano Hospital, Plano, TX, CCN 450890
• Medical City Lewisville Hospital, Lewisville, TX, CCN 450669

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tmadni35927@direct.phhs.org
• Direct secure messaging: tmadni@directaddress.net

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.

• Dermatology and Plastic Surgery Specialists PLLC

  • Plastic Surgery Physician
  • Southlake, TX
  • NPI 1043096365

  Single Specialty

  Medicare reassignment NPD
• Tarik Madni MD PLLC

  • Plastic Surgery Physician
  • Plano, TX
  • NPI 1932068749

  Single Specialty

  NPD Authorized official

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

• Baylor Regional Medical Center at Grapevine

  • General Acute Care Hospital
  • Grapevine, TX
  • NPI 1073511762
  Care Compare affiliation
• Baylor Regional Medical Center at Plano

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1649273434
  Care Compare affiliation
• Columbia Medical Center of Lewisville Subsidiary LP

  • General Acute Care Hospital
  • Lewisville, TX
  • NPI 1255384533
  Care Compare affiliation

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1851735922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 W STATE HIGHWAY 114 STE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760923639",
            "telephone_number": "817-912-1200",
            "fax_number": "817-997-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 W STATE HIGHWAY 114 STE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760923639",
            "telephone_number": "817-912-1200",
            "fax_number": "817-997-8791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADNI",
        "first_name": "TARIK",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-19",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "Q8549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jana Macalik, RBT
• Jenna A Mack, M.ED, LPC
• James David Mackey, MD
• Nancy De la Garza Madia, MD
• Yvonne Madison, LMT
• Lisa Mariko Maehara, D.O.
• Ginamar Magalhaes, PT, DPT
• Ann Marie Maggio, D.D.S.
• Magnolia Anesthesia Management LLC
• Magnolia Medspa Holdings PLLC

• Plastic Surgery Physician in Southlake, TX
• Providers in Southlake, TX by specialty
• Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.