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MOHAMMAD TARIQ AL FAZAL MD
NPI 1629773106
Allergy & Immunology in Madison, WI

Active since April 03, 2023PECOS Enrolled
600 HIGHLAND AVE, MADISON, WI 53792(608) 263-6400 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mohammad Tariq Al Fazal Md NPPES

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

MOHAMMAD TARIQ AL FAZAL MD (NPI 1629773106) is an individual allergy & immunology provider in Madison, Wisconsin, licensed in Wisconsin (8719920) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629773106
Entity TypeIndividualMale
Primary Taxonomy207K00000X
Provider Legal NameMOHAMMAD TARIQ AL FAZALCredential: MD
Location Address600 HIGHLAND AVEMadison, WI 53792-0001
Mailing Address600 Highland AveMadison, WI 53792-0001 · (608) 263-6400
Phone(608) 263-6400
Sole ProprietorNo
Enumeration DateApril 3, 2023
Last NPPES UpdateJuly 1, 2026
NPPES CertifiedJuly 1, 2026
✔ NPI 1629773106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in WI · 8719920
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
600 HIGHLAND AVE, Madison, WI 53792
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mohammad Tariq Al Fazal 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.

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.

JASON ALAN CHRISTENSEN PHARMD
Pharmacist
600 HIGHLAND AVE, COMPLIANCE MAIL CODE 2433
MADISON, WI 53792
Dane County (608) 662-0817
LAURA JEAN KOPPLIN MD, PHD
Ophthalmology
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-6070
HAGGI MAZEH MD
Surgery
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 265-8072
DR. SWAPNIL SUNIL LANJEWAR M.D.
Internal Medicine (Infectious Disease)
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-0946
DR. MATTHEW JAMES HOYT M.D.
Anesthesiology
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-8100
VANESSA MERCEDES WELTEN MD MPH
Transplant Surgery
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (617) 732-5500
JOHN HENRY NORMAN HARRISON
Anesthesiology
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-8100
PIPPA FROUKTE COSPER MD
Radiology (Radiation Oncology)
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-8500

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 Mohammad Al Fazal's NPI number?

The NPI number for Mohammad Al Fazal is 1629773106. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Mohammad Al Fazal located?

Mohammad Al Fazal practices at 600 Highland Ave, Madison, WI 53792. The listed phone number is (608) 263-6400.

What is Mohammad Al Fazal's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Mohammad Al Fazal enrolled in Medicare?

Yes. Mohammad Al Fazal is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mohammad Al Fazal was last updated on July 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.