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

Q: 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.

Q: What is Ezza Tariq's specialty?

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

Q: 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 4 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.

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: August 02, 2026.

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

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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

Phone(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

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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 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.

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

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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.

ZEHRA HUSSAIN DO

Internal Medicine