Individual provider Active NPI

Tarek Elshaarawy, M.D.

  • Vascular Surgery Physician
  • Battle Creek, MI
National Provider Identifier
1982676110
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
4301089405 Issued in MI
Practice address
3790 Capital Ave SW
Battle Creek, MI 49015-8332
Phone
(269) 979-6310
Fax
(269) 979-8807
NPI assigned
Feb 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 2086S0122X NJ
Vascular Surgery Physician 2086S0129X 4301089405 MI Primary

Addresses

Primary practice location

3790 Capital Ave SW
Battle Creek, MI 49015-8332

Mailing address

3790 Capital Ave SW
Battle Creek, MI 49015-8332
Phone (269) 979-6310

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070824000627 MI Practitioner - Vascular Surgery 7719917251 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VHC PCGroup PAC ID 1850288689, 3 clinicians

Practice addresses (Care Compare)

3790 Capital Ave SW
Battle Creek, MI 49015-8332
Phone (269) 979-6310

Hospital & facility affiliations

  • Bronson Battle Creek Hospital Hospital, Battle Creek, MI, CCN 230075
  • Borgess Medical Center Hospital, Kalamazoo, MI, CCN 230117
  • Oaklawn Hospital Hospital, Marshall, MI, CCN 230217
  • Insight Hospital and Medical Center Coldwater Hospital, Coldwater, MI, CCN 230022

Merit-based Incentive Payment System (MIPS)

Final score
90.87 of 100Reported as individual
Quality
69.62
Promoting interoperability
90
Improvement activities
40
Cost
88.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal37
Leg revascularization (restoring blood flow)263

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2086S0122XNJMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson Battle Creek Hospital CurrentSince May 1, 2015 Accepting new patients
Bronson Battle Creek Hospital CurrentSince May 1, 2015 Accepting new patients

Locations

2845 Capital Ave SW
Ste 302
Battle Creek, MI 49015
Phone (269) 324-0799

300 North Ave
Ste 101
Battle Creek, MI 49017
Phone (269) 245-8302

363 Fremont St
Ste 305
Battle Creek, MI 49017
Phone (269) 245-8302

632 North Ave
Battle Creek, MI 49017
Phone (269) 969-6145

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

Interoperability endpoints

  • Direct secure messaging: tarek.elshaarawy.1@20192.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1982676110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3790 CAPITAL AVE SW",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490158332",
            "telephone_number": "269-979-6310",
            "fax_number": "269-979-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3790 CAPITAL AVE SW",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490158332",
            "telephone_number": "269-979-6310",
            "fax_number": "269-979-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSHAARAWY",
        "first_name": "TAREK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "2086S0122X",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MI",
            "license": "4301089405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.