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TARK AHMED ABOU-ELMAGD
NPI 1649966979
Student in an Organized Health Care Education/Training Program in Fayetteville, NC

Active since April 11, 2023PECOS Enrolled
1638 OWEN DRIVE FAYETTEVILLE, NC 28302, FAYETTEVILLE, NC 28304(910) 615-3960(910) 615-9907 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tark Ahmed Abou-elmagd NPPES

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

TARK AHMED ABOU-ELMAGD (NPI 1649966979) is an individual student in an organized health care education/training program in Fayetteville, North Carolina and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649966979
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTARK AHMED ABOU-ELMAGD
Location Address1638 OWEN DRIVE FAYETTEVILLE, NC 28302Fayetteville, NC 28304
Mailing Address1638 Owen Drive Fayetteville, Nc 28302Fayetteville, NC 28304 · (910) 615-3960 · Fax (910) 615-9907
Phone(910) 615-3960
Fax(910) 615-9907
Sole ProprietorYes
Enumeration DateApril 11, 2023
NPPES CertifiedApril 1, 2023
✔ NPI 1649966979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1638 OWEN DRIVE FAYETTEVILLE, NC 28302, Fayetteville, NC 28304
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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)

Tark Ahmed Abou-elmagd 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.

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 Tark Abou-elmagd's NPI number?

The NPI number for Tark Abou-elmagd is 1649966979. It was assigned to this individual provider in the NPPES registry on April 11, 2023.

Where is Tark Abou-elmagd located?

Tark Abou-elmagd practices at 1638 Owen Drive Fayetteville, Nc 28302, Fayetteville, NC 28304. The listed phone number is (910) 615-3960.

What is Tark Abou-elmagd's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tark Abou-elmagd enrolled in Medicare?

Yes. Tark Abou-elmagd is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tark Abou-elmagd was last updated on April 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.