Individual provider Active NPI

E. Michael Tarazi, M.D.

  • Anesthesiology Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1932156494
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME139835 Issued in FL
Practice address
10264 Allamanda Cir
Palm Beach Gardens, FL 33410-5241
Phone
(802) 379-4081
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME139835 FL Primary

Addresses

Primary practice location

10264 Allamanda Cir
Palm Beach Gardens, FL 33410-5241

Mailing address

10264 Allamanda Cir
Palm Beach Gardens, FL 33410-5241

Other identifiers 2

IdentifierTypeStateIssuer
OVN2276MedicaidVT
050074384OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MA, NY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20191203000494 FL Practitioner - Anesthesiology 9436154176 Reassigns benefits to 2 organizations
I20211129000896 MA Practitioner - Anesthesiology 9436154176 Reassigns benefits to 3 organizations
I20230104001583 NY Practitioner - Anesthesiology 9436154176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Colorado School of Medicine, Denver, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JJM Medical Services PCGroup PAC ID 6800950312, 36 clinicians
Centurion Anesthesia - FL LLCGroup PAC ID 6103205620, 106 clinicians
Anesthesia Consultants of Massachusetts LLCGroup PAC ID 3274905906, 9 clinicians

Practice addresses (Care Compare)

1440 Main St
Waltham, MA 02451-1631
Phone (781) 891-9300

3800 Johnson St
Suite D
Hollywood, FL 33021-6052
Phone (917) 681-4963

5 Johnson Rd
Latham, NY 12110-3096
Phone (518) 782-1181

50 Staniford St
Lbby Level
Boston, MA 02114-2544
Phone (617) 723-2015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME139835FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Healthcorp, Inc. Anesthesiology CurrentSince Jan 15, 2022 Accepting new patients
Anesthesia Professionals, Inc. CurrentSince Oct 1, 2021 Accepting new patients
JJM Medical Services, PC Anesthesiology CurrentSince Dec 1, 2022 Accepting new patients
Sheridan Healthcorp, Inc Anesthesiology CurrentSince Jan 15, 2022 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology Current Accepting new patients
Anesthesia Consultants of Massachusetts LLC CurrentSince Feb 1, 2023 Accepting new patients
Emergency and Acute Care Medical Company - Northeast, Inc. Past Accepting new patients

Locations

2275 N Central Ave
Kissimmee, FL 34741
Phone (407) 570-0573

1796 US Highway 441 N
Okeechobee, FL 34972
Phone (863) 467-5222

4000 Burns Rd
Palm Beach Gardens, FL 33410
Phone (561) 626-6446

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

50 Staniford St
Lbby
Boston, MA 02114
Phone (617) 723-2015

145 West St
Milford, MA 01757
Phone (508) 381-5600

146 Industrial Park Rd
Plymouth, MA 02360
Phone (508) 833-6000

1440 Main St
Waltham, MA 02451
Phone (781) 891-9300

400 10th St E
Waconia, MN 55387

5 Johnson Rd
Latham, NY 12110
Phone (518) 767-0869

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1932156494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10264 ALLAMANDA CIR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334105241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10264 ALLAMANDA CIR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334105241",
            "telephone_number": "802-379-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARAZI",
        "first_name": "E. MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME139835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN2276",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050074384",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.