Tarek Elbadawy, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401414260 Issued in VA

Practice address

46175 Westlake Dr Ste 130
Sterling, VA 20165-5873

Phone

(917) 912-2793

NPI assigned

May 29, 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 VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Tarek Badawy DDS PLLC

  • Dental Clinic/Center
  • Sterling, VA
  • NPI 1629667274
  NPD Authorized official
• Dental Professionals of Virginia, P.C.

  • General Practice Dentistry
  • Suffolk, VA
  • NPI 1073901161
  NPD (past)

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1902243116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 COLLEGE DR.",
            "address_2": "SUITE #E",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235170018",
            "telephone_number": "917-912-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46175 WESTLAKE DR STE 130",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201655873",
            "telephone_number": "917-912-2793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELBADAWY",
        "first_name": "TAREK",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-29",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eating With Debbie, LLC
• Eatwellguru LLC
• Mina Ekdawi
• Mohamed Elashaal
• Dalia Mohamed Elashker, PT
• Elemental Wellness and Spine PC
• Angela Elgin
• Nahed Elias, PHARMD
• Elisa/Act Biotechnologies
• Elisa/Act Biotechnologies LLC

• Dentist in Sterling, VA
• Providers in Sterling, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.