Active NPI
Tarah Shereen Talakoub, D.O.
- Allergy & Immunology Physician
- Pearland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- T1861
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T1861 | Other | TX | TX 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| T1861 | TX | MD | Specialist |
| BP10053248 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Asthma & Allergy Associates | Allergy & Immunology | Current | Accepting new patients |
| Southwest Asthma & Allergy Associates | Specialist | Past | 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.
-
- Allergy & Immunology Physician
- Houston, TX
- NPI 1033139498
-
- Specialist
- Houston, TX
- NPI 1346406725
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.