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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TARIQ ALI ISLAM MD
NPI 1407607773
Family Medicine in Vancouver, WA

Active since March 27, 2024PECOS Enrolled
12607 SE MILL PLAIN BLVD, VANCOUVER, WA 98684(800) 813-2000 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tariq Ali Islam Md NPPES

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

TARIQ ALI ISLAM MD (NPI 1407607773) is an individual family medicine provider in Vancouver, Washington, licensed in Washington (MD.MD.70115935) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Vancouver.

NPPES Registry Identity

NPI1407607773
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTARIQ ALI ISLAMCredential: MD
Location Address12607 SE MILL PLAIN BLVDVancouver, WA 98684-6055
Mailing Address500 Ne Multnomah St Ste 100Portland, OR 97232-2099 · (800) 813-2000
Phone(800) 813-2000
Sole ProprietorNo
Enumeration DateMarch 27, 2024
Last NPPES UpdateOctober 1, 2026
NPPES CertifiedOctober 1, 2026
✔ NPI 1407607773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD.MD.70115935
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
12607 SE MILL PLAIN BLVD, Vancouver, WA 98684
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Secondary Practice Location 1

Location 1100 E 33rd St Ste 100Vancouver, WA 98663-2776 · Phone (360) 514-7550 · Fax (360) 514-7587

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 Ali Islam Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98684 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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 20

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

MISS MELISSA DAWN HILL
Counselor (Addiction (Substance Use Disorder))
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (800) 813-2000
ABERA GELETO ABU PHARM D
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 449-1600
IMOGEN KANE
Emergency Medicine
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 418-6001
DR. MARVIN ARNOLD HELDE O.D.
Optometrist
12607 SE MILL PLAIN BLVD, KAISER PERMANENTE CASCADE PARK MEDICAL FACILITY
VANCOUVER, WA 98684
Clark County (360) 896-4456
TIMOTHY W WEST MA, LPC, CDP, CADC 3
Counselor (Mental Health)
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 891-6275
DR. MICHELE LYNN SEQUEIRA MD
Family Medicine
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 891-6208
CATHERINE MYRA STROUSE M.D.
Family Medicine
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (866) 420-2244
DR. DANIEL EDWIN WACHENHEIM MD
Internal Medicine
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (186) 642-0224

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 Tariq Islam's NPI number?

The NPI number for Tariq Islam is 1407607773. It was assigned to this individual provider in the NPPES registry on March 27, 2024.

Where is Tariq Islam located?

Tariq Islam practices at 12607 SE Mill Plain Blvd, Vancouver, WA 98684. The listed phone number is (800) 813-2000.

What is Tariq Islam's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tariq Islam enrolled in Medicare?

Yes. Tariq Islam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tariq Islam was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.