TAREK R KHATER M.D.,
NPI 1720456049
General Practice in New York, NY

Active since September 02, 2015PECOS Enrolled
229 E 85TH ST, 672, NEW YORK, NY 10028(917) 960-0821(646) 952-2004 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 8, 2020, Apr 21, 2020, Apr 7, 2020 and 2 more (5 updates tracked since 2016).

About Tarek R Khater M.d., NPPES

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

TAREK R KHATER M.D., (NPI 1720456049) is an individual general practice provider in New York, New York, licensed in New York (128919) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720456049
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameTAREK R KHATERCredential: M.D.,
Location Address229 E 85TH ST, 672New York, NY 10028-9600
Mailing Address229 E 85th St, 672New York, NY 10028-9600 · (917) 960-0821 · Fax (646) 952-2004
Fax(646) 952-2004
Sole ProprietorYes
Enumeration DateSeptember 2, 2015
Last NPPES UpdateFebruary 12, 20265 updates tracked since enumeration
NPPES CertifiedAugust 8, 2020
✔ NPI 1720456049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in NY · 128919✔ Licensed in CA · 2010966 PTAL
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedSpecialist/Technologist Cardiovascular · SonographyTaxonomy 246XS1301X · License CCI: 00093517 (NC)
Also ListedRadiologic Technologist · SonographyTaxonomy 2471S1302X · License ARDMS: 176911 (MD)
229 E 85TH ST, New York, NY 10028

Other Identifiers 2

Other128919NY · Nyc Mrc
Other3517284NY · Dba

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tarek R Khater M.d., 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.

Medicare Billing Reassignment

Medicare enrollment records show Tarek Khater reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
6918 32ND AVE
Woodside, NY 11377
  • Reassigned Medicare billing, New York enrollment
  • 102 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Khater's NPI number?

The NPI number for Tarek Khater is 1720456049. It was assigned to this individual provider in the NPPES registry on September 2, 2015.

Where is Tarek Khater located?

Tarek Khater practices at 229 E 85th St 672, New York, NY 10028. The listed phone number is (917) 960-0821.

What is Tarek Khater's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Tarek Khater enrolled in Medicare?

Yes. Tarek Khater is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tarek Khater's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tarek Khater reassigns Medicare benefits to Internal Medicine Solutions P.C. (Woodside, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tarek Khater's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tarek Khater was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.