TARIQ A MEKKAOUI DO
NPI 1275328072
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Tariq Mekkaoui's NPI number?

The NPI number for Tariq Mekkaoui is 1275328072. It was assigned to this individual provider in the NPPES registry on April 11, 2025.

Q: What is Tariq Mekkaoui's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tariq Mekkaoui was last updated on April 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 11, 2025PECOS Enrolled

2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-2600 Get Directions Write a Review

NPPES record last updated: April 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Tariq A Mekkaoui Do NPPES

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

TARIQ A MEKKAOUI DO (NPI 1275328072) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275328072

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameTARIQ A MEKKAOUICredential: DO

Location Address2799 W GRAND BLVDDetroit, MI 48202-2608

Mailing Address6048 Burger StDearborn Heights, MI 48127-2451 · (313) 288-4226

Phone(313) 916-2600

Sole ProprietorNo

Enumeration DateApril 11, 2025

NPPES CertifiedApril 11, 2025

✔ NPI 1275328072 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.

2799 W GRAND BLVD, Detroit, MI 48202

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tariq A Mekkaoui Do 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 20

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

HENRY FORD HOSPITAL

General Acute Care Hospital