Tarek Garada, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301056867 Issued in MI

Practice address

23133 Orchard Lake Rd
Suiet 100
Farmington, MI 48336-3268

Phone

(248) 477-0100

Fax

(248) 477-6153

NPI assigned

Jun 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: tgarada@direct.dmc.org
• FHIR API: https://fhir4.healow.com/fhir/r4/AJCJCA/Endpoint/AJCJCA

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.

• Botsford General Hospital

  • Urgent Care Clinic/Center
  • Redford, MI
  • NPI 1831402056
  Medicare reassignment NPD
• Botsford General Hospital

  • Pediatrics Physician
  • Farmington, MI
  • NPI 1437191947
  NPD
• Botsford General Hospital

  • General Acute Care Hospital
  • Farmington Hills, MI
  • NPI 1336183367
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1962444679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23133 ORCHARD LAKE RD",
            "address_2": "SUIET 100",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483363268",
            "telephone_number": "248-477-0100",
            "fax_number": "248-477-6153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23133 ORCHARD LAKE RD",
            "address_2": "SUIET 100",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483363268",
            "telephone_number": "248-477-0100",
            "fax_number": "248-477-6153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARADA",
        "first_name": "TAREK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301056867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4117404",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "125950",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "063672",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "P61346",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5770325",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "C5269",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele Marita Foxworthy, D.C.
• Robert Foxworthy, BS DC
• Freedom Through Function
• Gabriel Counseling Services, Inc.
• Galaxie Diagnostics LLC
• Abby Marie Gardner, CMT, HHP
• Herbert M. Gardner, D.D.S.
• Gary S. Oppenheim, O.D., P.C.
• GD Mi Farmington PLLC
• Gennao LLC

• Pediatrics Physician in Farmington, MI
• Providers in Farmington, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.