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TARIQUL OMAR ISMAIL MD
NPI 1043951361
Student in an Organized Health Care Education/Training Program in Charlottesville, VA

Active since April 02, 2022PECOS Enrolled
1215 LEE ST # 800133, CHARLOTTESVILLE, VA 22908(434) 924-1984(434) 244-4502 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tariqul Omar Ismail Md NPPES

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

TARIQUL OMAR ISMAIL MD (NPI 1043951361) is an individual student in an organized health care education/training program in Charlottesville, Virginia and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043951361
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTARIQUL OMAR ISMAILCredential: MD
Location Address1215 LEE ST # 800133Charlottesville, VA 22908-5422
Mailing Address100 E Carroll StSalisbury, MD 21801-5422 · (410) 546-6400
Phone(434) 924-1984
Fax(434) 244-4502
Sole ProprietorNo
Enumeration DateApril 2, 2022
Last NPPES UpdateJune 23, 2025
NPPES CertifiedJune 23, 2025
✔ NPI 1043951361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
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.

1215 LEE ST # 800133, Charlottesville, VA 22908
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tariqul Omar Ismail Md 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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRENT JAMES PORTZ D.O.
Internal Medicine
1215 LEE ST # 800133
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-8661

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 Tariqul Ismail's NPI number?

The NPI number for Tariqul Ismail is 1043951361. It was assigned to this individual provider in the NPPES registry on April 2, 2022.

Where is Tariqul Ismail located?

Tariqul Ismail practices at 1215 Lee St # 800133, Charlottesville, VA 22908. The listed phone number is (434) 924-1984.

What is Tariqul Ismail's specialty?

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

Is Tariqul Ismail enrolled in Medicare?

Yes. Tariqul Ismail is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tariqul Ismail was last updated on June 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.