Individual provider Active NPI

Tarik Qasim, MD

  • Internal Medicine Physician
  • Berlin, VT
National Provider Identifier
1962608646
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
042.0018485-COMP Issued in VT
Practice address
142 Woodridge Rd
Berlin, VT 05602-9165
Phone
(802) 371-4700
NPI assigned
Jun 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MD43877 IA
Internal Medicine Physician 207R00000X 042.0018485-COMP VT Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MD00049176 WA
Internal Medicine Physician 207R00000X C4546 KY
Internal Medicine Physician 207R00000X MD00049176 WA

Addresses

Primary practice location

142 Woodridge Rd
Berlin, VT 05602-9165

Mailing address

1601 SW Archer Rd
Gainesville, FL 32608-1135
Phone (352) 548-6000

Other practice location 1

1601 SW Archer Rd
Gainesville, FL 32608-1135
Phone (352) 548-6000

Other practice location 2

1718 E Kessler Blvd
Longview, WA 98632-1842
Phone (360) 747-5800

Other practice location 3

1615 Delaware St
Longview, WA 98632-2367
Phone (360) 501-3601

Other practice location 4

1603 Morgan St
Keokuk, IA 52632-3430
Phone (319) 524-6274

Other identifiers 1

IdentifierTypeStateIssuer
81311MedicaidND

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address tqasim3018436@ak.providencedirect.org
Direct Messaging Address tqasim3018436@ak.providencedirect.org
Direct Messaging Address tqasim3018436@ak.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, VT, MI, KY4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20081203000206 TX Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Geriatric Medicine 1355415647 Reassigns benefits to 2 organizations
I20250416003068 VT Practitioner - Internal Medicine 1355415647 Reassigns benefits to 1 organization
I20250624000683 MI Practitioner - Internal MedicinePractitioner - Geriatric Medicine 1355415647 Reassigns benefits to 2 organizations
I20251219001448 KY Practitioner - Internal Medicine 1355415647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Temple University School of Medicine, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Triad Health Systems, Inc.Group PAC ID 4082798699, 21 clinicians
Zuni Indian HospitalGroup PAC ID 5698689644, 48 clinicians

Practice addresses (Care Compare)

329 Floyd Dr
Carrollton, KY 41008-8261
Phone (502) 732-1082

441 US Hwy 42 W
Warsaw, KY 41095-9561
Phone (859) 567-1591

N10561 Grandview LN
Ironwood, MI 49938-9622
Phone (906) 932-2525

N10561 Granview LN
Grand View Hospital
Ironwood, MI 49938-9622
Phone (906) 932-2525

N10565 Grand View Lane
Ironwood, MI 49938-9622

N10565 Grandview Lane
Ironwood, MI 49938-9622

N10565 Grandview LN Aspirus Ironwood
Ironwood, MI 49938-9622
Phone (715) 843-1067

P O Box
Suite 467
Zuni, NM 87327-0467

PO Box
Suite 467
Zuni, NM 87327-0467

Route 301 N 21 B St
Zuni, NM 87327-0467
Phone (505) 782-4431

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.44 of 100Reported as group
Quality
62.56
Promoting interoperability
81
Improvement activities
40
Cost
67.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD43877IAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carnegie Indian Health Center CurrentSince Jul 15, 2024 Accepting new patients
Triad Health Systems, Inc. CurrentSince Dec 1, 2025 Accepting new patients
U S Health Dept of Health & Human Services CurrentSince Nov 11, 2024 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. Internal Medicine Current Accepting new patients
Central Vermont Medical Center Inc Internal Medicine CurrentSince Mar 31, 2025 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Triad Health Systems, Inc. CurrentSince Dec 1, 2025 Accepting new patients
US Health Dept of Health & Human Services Current Accepting new patients
US Health Dept of Health & Human Services CurrentSince Nov 11, 2024 Accepting new patients
Lander Valley Physician Practices, LLC Internal Medicine Past Accepting new patients
DHHS PHS Naihs Fort Defiance Hospital Past Accepting new patients
Saint Alphonsus Regional Medical Center Inc Internal Medicine Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

120 Progress Way
Owenton, KY 40359
Phone (502) 227-2229

441 US Highway 42 W
Warsaw, KY 41095
Phone (859) 567-1271

N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100

212 E 4th St
Carnegie, OK 73015
Phone (580) 654-1100

1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350

142 Woodridge Rd
Berlin, VT 05602
Phone (802) 371-4700

130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400

Interoperability endpoints

  • Direct secure messaging: tqasim138100@direct.aspirus.org
  • Direct secure messaging: tqasim3018436@ak.providencedirect.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1962608646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326081135",
            "telephone_number": "352-548-6000",
            "fax_number": "319-524-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 WOODRIDGE RD",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "056029165",
            "telephone_number": "802-371-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 SW Archer Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326081135",
            "country_code": "US",
            "telephone_number": "352-548-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1718 E Kessler Blvd",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986321842",
            "country_code": "US",
            "telephone_number": "360-747-5800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1615 Delaware St",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986322367",
            "country_code": "US",
            "telephone_number": "360-501-3601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1603 Morgan St",
            "address_purpose": "LOCATION",
            "city": "Keokuk",
            "state": "IA",
            "postal_code": "526323430",
            "country_code": "US",
            "telephone_number": "319-524-6274",
            "fax_number": "319-524-9068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QASIM",
        "first_name": "TARIK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IA",
            "license": "MD43877",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "042.0018485-COMP",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "WA",
            "license": "MD00049176",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "C4546",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00049176",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81311",
            "state": "ND"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tqasim3018436@ak.providencedirect.org",
            "affiliation": "N",
            "endpointDescription": "Provider direct messaging address",
            "address_1": "247 N Fireweed St",
            "city": "Soldotna",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996697540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tqasim3018436@ak.providencedirect.org",
            "affiliation": "N",
            "endpointDescription": "Provider direct messaging address",
            "address_1": "247 N Fireweed St",
            "city": "Soldotna",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996697540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tqasim3018436@ak.providencedirect.org",
            "affiliation": "N",
            "endpointDescription": "Provider direct messaging address",
            "address_1": "247 N Fireweed St",
            "city": "Soldotna",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996697540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Berlin, VT

Sources for this page

Verify at the official NPI Registry.