Active NPI
Tarik Qasim, MD
- Internal Medicine Physician
- Berlin, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 042.0018485-COMP
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81311 | Medicaid | ND |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Temple University School of Medicine, 2003
- Medicare assignment
- May accept Medicare assignment
- Group practices
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD43877 | IA | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carnegie Indian Health Center | Current | Accepting new patients | |
| Triad Health Systems, Inc. | Current | Accepting new patients | |
| U S Health Dept of Health & Human Services | Current | Accepting new patients | |
| Aspirus Ironwood Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Ironwood Hospital & Clinics, Inc. | Internal Medicine | Current | Accepting new patients |
| Central Vermont Medical Center Inc | Internal Medicine | Current | Accepting new patients |
| Aspirus Ironwood Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Triad Health Systems, Inc. | Current | Accepting new patients | |
| US Health Dept of Health & Human Services | Current | Accepting new patients | |
| US Health Dept of Health & Human Services | Current | 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
- tqasim138100@direct.aspirus.org
- 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.
-
- Family Medicine Physician
- Ironwood, MI
- NPI 1992704753
Internal Medicine
-
- Federally Qualified Health Center (FQHC)
- Warsaw, KY
- NPI 1831311299
-
- Family Medicine Physician
- Berlin, VT
- NPI 1023028784
Internal Medicine
-
- Critical Access Hospital
- Ironwood, MI
- NPI 1649297342
-
- General Acute Care Hospital
- Zuni, NM
- NPI 1497843734
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Ironwood, MI
- NPI 1609743590
-
- Community/Retail Pharmacy
- Warsaw, KY
- NPI 1851035471
-
- Critical Access Hospital
- Lodge Grass, MT
- NPI 1750410395
-
- Critical Access Hospital
- Crow Agency, MT
- NPI 1548393358
-
- General Acute Care Hospital
- Fort Defiance, AZ
- NPI 1700962131
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ophthalmology Physician
- Iron River, MI
- NPI 1073293999
Hospital
-
- Rural Health Clinic/Center
- Hurley, WI
- NPI 1154434249
Hospital
-
- Ophthalmology Physician
- Ironwood, MI
- NPI 1609034099
Hospital
-
- Critical Access Hospital
- Ironwood, MI
- NPI 1649297342
-
- Family Medicine Physician
- Ironwood, MI
- NPI 1992704753
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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.