DR. EZZA TARIQ MD
NPI 1144961897
General Practice in Longview, TX

Active since April 06, 2022PECOS EnrolledAccepts Medicare Assignment
700 E MARSHALL AVE, LONGVIEW, TX 75601(903) 315-2000 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 18, 2026, Nov 13, 2025, Apr 6, 2022 (3 updates tracked since 2022).

About Dr. Ezza Tariq Md NPPES

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

DR. EZZA TARIQ MD (NPI 1144961897) is an individual general practice provider in Longview, Texas, licensed in Texas (V8780) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Christus Good Shepherd Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1144961897
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. EZZA TARIQCredential: MD
Location Address700 E MARSHALL AVELongview, TX 75601-5580
Mailing Address700 E Marshall AveLongview, TX 75601-5580 · (903) 315-2000
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateApril 6, 2022
Last NPPES UpdateMarch 18, 20263 updates tracked since enumeration
NPPES CertifiedMarch 18, 2026
✔ NPI 1144961897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in TX · V8780
Definition
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
Also ListedFamily MedicineTaxonomy 207Q00000X · License V8780 (TX)
Also ListedHospitalistTaxonomy 208M00000X · License V8780 (TX)
700 E MARSHALL AVE, Longview, TX 75601

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ezza Tariq Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880075175
PECOS Enrollment IDI20260107002910
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 Reassignments

2

Medicare enrollment records show Ezza Tariq reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
700 E MARSHALL AVE
Longview, TX 75601
  • Reassigned Medicare billing, Texas enrollment
  • 334 clinicians in this Medicare group
Urgent Care
4928 SAMUEL BLVD
Mesquite, TX 75149
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: American Current Care PA
  • 237 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Christus Good Shepherd Medical Center

Acute Care Hospitals · Longview, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450032
Location700 E Marshall AveLongview, TX 75601 · Gregg County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

Internal Medicine
700 E MARSHALL AVE
LONGVIEW, TX 75601
Student in an Organized Health Care Education/Training Program
700 E MARSHALL AVE
LONGVIEW, TX 75601
Emergency Medicine
700 E MARSHALL AVE
LONGVIEW, TX 75601
Nurse Practitioner
700 E MARSHALL AVE
LONGVIEW, TX 75601
Hospitalist
700 E MARSHALL AVE
LONGVIEW, TX 75601
Hospitalist
700 E MARSHALL AVE
LONGVIEW, TX 75601
Emergency Medicine
700 E MARSHALL AVE
LONGVIEW, TX 75601
Internal Medicine
700 E MARSHALL AVE
LONGVIEW, TX 75601

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 Ezza Tariq's NPI number?

The NPI number for Ezza Tariq is 1144961897. It was assigned to this individual provider in the NPPES registry on April 6, 2022.

Where is Ezza Tariq located?

Ezza Tariq practices at 700 E Marshall Ave, Longview, TX 75601. The listed phone number is (903) 315-2000.

What is Ezza Tariq's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Ezza Tariq enrolled in Medicare?

Yes. Ezza Tariq is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ezza Tariq's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ezza Tariq reassigns Medicare benefits to 2 organizations: North Texas Physician Services, PLLC (Longview, TX) and American Current Care, P.A. (Mesquite, TX). Each 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 Ezza Tariq's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ezza Tariq accept?

Health plans from Blue Cross and Blue Shield of Texas list Ezza Tariq as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ezza Tariq affiliated with any hospitals?

According to CMS data, Ezza Tariq is affiliated with Christus Good Shepherd Medical Center.

When was this NPI record last updated?

The NPPES record for Ezza Tariq was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.