TAREK R KHATER M.D. NPI 1720456049

NPI Information

NPI: 1720456049
Provider Name: TAREK R KHATER, M.D.,
Classification: General Practice - 208D00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 229 E 85TH ST
672
NEW YORK, NY
ZIP 10028
Phone: (917) 960-0821

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NPI Details

Tarek R Khater, M.D., is a general practice in New York, NY with 24 years of experience. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Tarek R Khater, M.D., NPI is 1720456049. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

229 E 85TH ST
672
NEW YORK, NY
ZIP 10028-600
Phone: (917) 960-0821
Fax: (646) 952-2004

The NPI 1720456049 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/2/2015 and was last updated on 8/8/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		128919	NEW YORK	Yes
2	208D00000X	General Practice		2010966 PTAL	CALIFORNIA	No
3	246XS1301X	Specialist/Technologist Cardiovascular	Sonography	CCI: 00093517	NORTH CAROLINA	No
4	2471S1302X	Radiologic Technologist	Sonography	ARDMS: 176911	MARYLAND	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3517284	OTHER	NEW YORK	DBA
2	128919	OTHER	NEW YORK	NYC MRC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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