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DR. TAREK GHALEB DEFRAWI M.D.
NPI 1295006310
Emergency Medicine in Houston, TX

Active since January 20, 2012PECOS EnrolledAccepts Medicare Assignment
4000 WASHINGTON AVE, HOUSTON, TX 77007(281) 501-2841 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Tarek Ghaleb Defrawi M.d. NPPES

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

DR. TAREK GHALEB DEFRAWI M.D. (NPI 1295006310) is an individual emergency medicine provider in Houston, Texas, licensed in Texas (N9536) and active in the NPI registry since January 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Sugar Land, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2006).

NPPES Registry Identity

NPI1295006310
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. TAREK GHALEB DEFRAWICredential: M.D.
Location Address4000 WASHINGTON AVEHouston, TX 77007-5673
Mailing Address4000 Washington AveHouston, TX 77007-5673 · (281) 501-2841
Phone(281) 501-2841
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2006
Enumeration DateJanuary 20, 2012
Last NPPES UpdateJune 6, 2024
NPPES CertifiedMay 30, 2024
✔ NPI 1295006310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TX · N9536
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedGeneral PracticeTaxonomy 208D00000X · License N9536 (TX)
4000 WASHINGTON AVE, Houston, TX 77007
Open in Google Maps ↗

Secondary Practice Location 1

Location 12811 Imperia Drive, Ste 100Sugar Land, TX 77479 · Phone (832) 895-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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. Tarek Ghaleb Defrawi M.d. 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 ID8820472947
PECOS Enrollment IDI20220908001277
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 Defrawi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Atlas Healthcare Partners LLC
22 mi
General Practice
2811 IMPERIA DRIVE, SUITE 100
Sugar Land, TX 77479
  • Reassigned Medicare billing, Texas enrollment
  • 4 clinicians in this Medicare group
NPI 1801532890 (832) 895-5000

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, inclisiran, 1 mg J1306
Inclisiran is an injection administered to lower cholesterol levels. It works by blocking the production of LDL (bad cholesterol) in your liver. This medicine is often used when diet changes and other medications have not been effective.
7,100 services21 patients
Administration of chemotherapy into vein, 1 hour or less 96413
Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.
179 services20 patients
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365
This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.
99 services24 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
35 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77007 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

AMIR ZEGAR DO
Emergency Medicine
4000 WASHINGTON AVE
HOUSTON, TX 77007
Harris County (281) 501-2841
BRILLIANT DENTAL CARE
Clinic/Center (Dental)
4000 WASHINGTON AVE, STE 201
HOUSTON, TX 77007
Harris County (713) 839-0900
ERIN MARTINO
Physical Therapist (Orthopedic)
4000 WASHINGTON AVE, 302
HOUSTON, TX 77007
Harris County (713) 861-2722
EMERGENCY MEDICINE PHYSICIANS OF TEXAS
Emergency Medicine
4000 WASHINGTON AVE, STE 100
HOUSTON, TX 77007
Harris County (713) 838-0800
EMERGENCY HEALTHCARE PARTNERS, LP
Clinic/Center (Emergency Care)
4000 WASHINGTON AVE
HOUSTON, TX 77007
Harris County (281) 501-2841

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 Defrawi's NPI number?

The NPI number for Tarek Defrawi is 1295006310. It was assigned to this individual provider in the NPPES registry on January 20, 2012.

Where is Tarek Defrawi located?

Tarek Defrawi practices at 4000 Washington Ave, Houston, TX 77007. The listed phone number is (281) 501-2841.

What is Tarek Defrawi's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Tarek Defrawi enrolled in Medicare?

Yes. Tarek Defrawi 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 organization bills Medicare for Tarek Defrawi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tarek Defrawi reassigns Medicare benefits to Atlas Healthcare Partners LLC (Sugar Land, TX). 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 Defrawi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tarek Defrawi accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Tarek Defrawi 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.

When was this NPI record last updated?

The NPPES record for Tarek Defrawi was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.