TAREK EL-GHAZALY
NPI 1033524756
Student in an Organized Health Care Education/Training Program in Stony Brook, NY

Active since June 23, 2014PECOS Enrolled
101 NICOLLS RD BLDG LEVELT9, STONY BROOK, NY 11794(631) 444-1916 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tarek El-ghazaly NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAREK EL-GHAZALY (NPI 1033524756) is an individual student in an organized health care education/training program in Stony Brook, New York, licensed in New York (319022) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033524756
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTAREK EL-GHAZALY
Location Address101 NICOLLS RD BLDG LEVELT9Stony Brook, NY 11794-3328
Mailing Address2160 S 1st AveMaywood, IL 60153-3328
Sole ProprietorNo
Enumeration DateJune 23, 2014
Last NPPES UpdateMay 23, 2023
NPPES CertifiedMay 23, 2023
✔ NPI 1033524756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
License✔ Licensed in NY · 319022
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSurgeryTaxonomy 208600000X · License 125.065598 (IL)
101 NICOLLS RD BLDG LEVELT9, Stony Brook, NY 11794

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tarek El-ghazaly is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tarek El-ghazaly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Neuromusculoskeletal Medicine, Sports Medicine
4105 LEWIS AND CLARK DR
Charlottesville, VA 22911
  • Reassigned Medicare billing, Virginia enrollment
  • 2,820 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tarek El-ghazaly's NPI number?

The NPI number for Tarek El-ghazaly is 1033524756. It was assigned to this individual provider in the NPPES registry on June 23, 2014.

Where is Tarek El-ghazaly located?

Tarek El-ghazaly practices at 101 Nicolls Rd Bldg Levelt9, Stony Brook, NY 11794. The listed phone number is (631) 444-1916.

What is Tarek El-ghazaly's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tarek El-ghazaly enrolled in Medicare?

Yes. Tarek El-ghazaly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tarek El-ghazaly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tarek El-ghazaly reassigns Medicare benefits to University Of Virginia Physicians Group (Charlottesville, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tarek El-ghazaly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tarek El-ghazaly was last updated on May 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.