TAMARA BETOUL DAWLI M.D.
NPI 1619293008
Plastic Surgery in Buffalo, NY

Active since April 11, 2010Opted out of Medicare · through Jul 1, 2028
2121 MAIN ST, SUITE #209, BUFFALO, NY 14214(716) 465-0097 Get Directions Write a Review

NPPES record last updated: July 25, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tamara Betoul Dawli M.d. NPPES

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

TAMARA BETOUL DAWLI M.D. (NPI 1619293008) is an individual plastic surgery provider in Buffalo, New York, licensed in New York (282085-1) and active in the NPI registry since April 2010. She has opted out of Medicare through July 1, 2028.

NPPES Registry Identity

NPI1619293008
Entity TypeIndividualFemale
Primary Taxonomy208200000X
Provider Legal NameTAMARA BETOUL DAWLICredential: M.D.
Location Address2121 MAIN ST, SUITE #209Buffalo, NY 14214-2693
Mailing Address2121 Main St, Suite #209Buffalo, NY 14214-2693 · (716) 465-0097
Sole ProprietorNo
Enumeration DateApril 11, 2010
Last NPPES UpdateJuly 25, 2016
✔ NPI 1619293008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in NY · 282085-1
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
2121 MAIN ST, Buffalo, NY 14214

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Tamara Betoul Dawli M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2022 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2022
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

Physical Medicine & Rehabilitation
2121 MAIN ST, SUITE 112
BUFFALO, NY 14214
Physical Medicine & Rehabilitation
2121 MAIN ST, SUITE 112
BUFFALO, NY 14214
Anesthesiology
2121 MAIN ST, SUITE 209
BUFFALO, NY 14214
Surgery
2121 MAIN ST, SUITE 316
BUFFALO, NY 14214
Dentist
2121 MAIN ST, #310
BUFFALO, NY 14214
Podiatrist
2121 MAIN ST
BUFFALO, NY 14214
Anesthesiology
2121 MAIN ST, SUITE 209
BUFFALO, NY 14214
Obstetrics & Gynecology
2121 MAIN ST, SUITE 218
BUFFALO, NY 14214

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 Tamara Dawli's NPI number?

The NPI number for Tamara Dawli is 1619293008. It was assigned to this individual provider in the NPPES registry on April 11, 2010.

Where is Tamara Dawli located?

Tamara Dawli practices at 2121 Main St Suite #209, Buffalo, NY 14214. The listed phone number is (716) 465-0097.

What is Tamara Dawli's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Tamara Dawli enrolled in Medicare?

No. Tamara Dawli has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Tamara Dawli was last updated on July 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.