TAGRID ADILI MD PA
NPI 1306068606
Specialist in Port St Lucie, FL

Active since May 03, 2007
463 NW PRIMA VISTA BLVD, PORT ST LUCIE, FL 34983(772) 807-7166(772) 807-7169 Get Directions Write a Review

NPPES record last updated: February 21, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Tagrid Adili Md Pa NPPES

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

TAGRID ADILI MD PA (NPI 1306068606) is a healthcare organization registered as a specialist in Port St Lucie, Florida and active in the NPI registry since May 2007. The organization lists Tagrid Adili, Owner, as its authorized official.

NPPES Registry Identity

NPI1306068606
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameTAGRID ADILI MD PA
Location Address463 NW PRIMA VISTA BLVDPort St Lucie, FL 34983
Mailing Address463 Nw Prima Vista BlvdPort St Lucie, FL 34983 · (772) 807-7166 · Fax (772) 807-7169
Fax(772) 807-7169
Organization SubpartNo
Authorized OfficialTagrid AdiliOwner · (772) 807-7166
Enumeration DateMay 3, 2007
Last NPPES UpdateFebruary 21, 2008
✔ NPI 1306068606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME0067274
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
463 NW PRIMA VISTA BLVD, Port St Lucie, FL 34983

Other Identifiers 2

Medicare UPING22352
Medicare PIN26511Z

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tagrid Adili Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Tagrid Adili MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Neurology
NPI 1093820417
463 NW PRIMA VISTA BLVD
Port St Lucie, FL 34983
(772) 335-1882
✔ PECOS✔ Accepts MedicareSame address

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

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 Tagrid Adili MD PA's NPI number?

The NPI number for Tagrid Adili MD PA is 1306068606. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Tagrid Adili MD PA located?

Tagrid Adili MD PA is located at 463 NW Prima Vista Blvd, Port St Lucie, FL 34983. The listed phone number is (772) 807-7166.

What is Tagrid Adili MD PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Tagrid Adili MD PA enrolled in Medicare?

Yes. Tagrid Adili MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tagrid Adili MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to Tagrid Adili MD PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Tagrid Adili MD PA was last updated on February 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.