TAREK NABIL METWALLY
NPI 1669965257
Dentist - Oral and Maxillofacial Surgery in South Lyon, MI

Active since June 08, 2018PECOS EnrolledAccepts Medicare Assignment
22180 PONTIAC TRL STE A, SOUTH LYON, MI 48178(248) 486-9202 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, Jun 17, 2024, Sep 18, 2021 and 1 more (4 updates tracked since 2020).

About Tarek Nabil Metwally NPPES

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

TAREK NABIL METWALLY (NPI 1669965257) is an individual oral and maxillofacial surgery provider in South Lyon, Michigan, licensed in Michigan (2901022583) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Ann Arbor, and is a graduate of University Of Michigan School Of Dentistry (2018).

NPPES Registry Identity

NPI1669965257
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameTAREK NABIL METWALLY
Location Address22180 PONTIAC TRL STE ASouth Lyon, MI 48178-9097
Mailing Address42051 Mound RdSterling Heights, MI 48314-3143 · (586) 323-7700
Sole ProprietorNo
Medical School CMSUniversity Of Michigan School Of DentistryGraduated 2018
Enumeration DateJune 8, 2018
Last NPPES UpdateJuly 15, 20244 updates tracked since enumeration
NPPES CertifiedJuly 15, 2024
NPI 1669965257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in MI · 2901022583
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
22180 PONTIAC TRL STE A, South Lyon, MI 48178

Secondary Practice Location 1

Location 1Michigan Medicine, University of Michigan Dept of OMFS, 1515 Hospital Dr. G1218 Towsley, SPC 5222Ann Arbor, MI 48109-5222 · Phone (734) 232-4765

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tarek Nabil Metwally is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113348525
PECOS Enrollment IDI20240912003050
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 48178 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Tarek Metwally's NPI number?

The NPI number for Tarek Metwally is 1669965257. It was assigned to this individual provider in the NPPES registry on June 8, 2018.

Where is Tarek Metwally located?

Tarek Metwally practices at 22180 Pontiac Trl Ste A, South Lyon, MI 48178. The listed phone number is (248) 486-9202.

What is Tarek Metwally's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Tarek Metwally enrolled in Medicare?

Yes. Tarek Metwally is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tarek Metwally accept?

Health plans from BEST Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list Tarek Metwally as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tarek Metwally was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.