Individual provider Active NPI

Tarah Shereen Talakoub, D.O.

  • Allergy & Immunology Physician
  • Pearland, TX
National Provider Identifier
1851773956
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
T1861 Issued in TX
Practice address
10907 Memorial Hermann Dr Ste 380
Pearland, TX 77584-4115
Phone
(713) 413-8100
Fax
(713) 413-8101
NPI assigned
Jun 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X T1861 TX
Internal Medicine Physician 207R00000X BP10053248 TX
Allergy & Immunology Physician 207K00000X T1861 TX Primary

Addresses

Primary practice location

10907 Memorial Hermann Dr Ste 380
Pearland, TX 77584-4115

Mailing address

12606 W Houston Center Blvd Ste 260
Houston, TX 77082-2790
Phone (713) 596-8526

Other practice location 1

1140 Clear Lake City Blvd Ste A
Houston, TX 77062-8128
Phone (281) 461-3300

Other identifiers 1

IdentifierTypeStateIssuer
T1861OtherTXTX MEDICAL PERMIT

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210830001251 TX Practitioner - Allergy/Immunology 2163827122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
William Carey University College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Asthma and Allergy AssociatesGroup PAC ID 7113902842, 9 clinicians

Practice addresses (Care Compare)

10907 Memorial Hermann Dr
Suite 380
Pearland, TX 77584-4115
Phone (713) 413-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
T1861TXMDSpecialist
BP10053248TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Asthma & Allergy Associates Allergy & Immunology CurrentSince Sep 1, 2021 Accepting new patients
Southwest Asthma & Allergy Associates Specialist PastSince Sep 1, 2021 Accepting new patients

Locations

12606 West Houston Center Blvd
Ste 260
Houston, TX 77082
Phone (713) 596-8500

902 Frostwood Dr
Ste 302
Houston, TX 77024
Phone (713) 596-8526

1140 Clear Lake City Blvd
Ste A
Houston, TX 77062
Phone (281) 461-3300

21820 Kingsland Blvd
Ste 110
Katy, TX 77450
Phone (281) 578-7922

10907 Memorial Hermann Dr
Ste 380
Pearland, TX 77584
Phone (713) 413-8100

15400 Southwest Fwy
Ste 125
Sugar Land, TX 77478
Phone (281) 242-0131

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.

NPI Registry JSON

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1851773956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12606 W HOUSTON CENTER BLVD STE 260",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822790",
            "telephone_number": "713-596-8526",
            "fax_number": "713-596-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10907 MEMORIAL HERMANN DR STE 380",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775844115",
            "telephone_number": "713-413-8100",
            "fax_number": "713-413-8101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1140 Clear Lake City Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770628128",
            "country_code": "US",
            "telephone_number": "281-461-3300",
            "fax_number": "281-461-3301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALAKOUB",
        "first_name": "TARAH",
        "middle_name": "SHEREEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2023-03-07",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "T1861",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10053248",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "T1861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX MEDICAL PERMIT",
            "identifier": "T1861",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.