TAREK ANDERSON M.D.
NPI 1841365640
Pediatrics - Neonatal-Perinatal Medicine in South Charleston, WV

Q: What is Tarek Anderson's NPI number?

The NPI number for Tarek Anderson is 1841365640. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Q: What is Tarek Anderson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Tarek Anderson was last updated on May 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since November 21, 2006PECOS EnrolledAccepts Medicare Assignment

4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309(304) 346-9400(304) 345-7320 Get Directions Write a Review

NPPES record last updated: May 27, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Tarek Anderson M.d. NPPES

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

TAREK ANDERSON M.D. (NPI 1841365640) is an individual neonatal-perinatal medicine provider in South Charleston, West Virginia, licensed in West Virginia (18922) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1980).

NPPES Registry Identity

NPI1841365640

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameTAREK ANDERSONCredential: M.D.

Location Address4605 MACCORKLE AVE SWSouth Charleston, WV 25309-1311

Mailing AddressPo Box L2560Columbus, OH 43260-0001 · (304) 346-9400 · Fax (304) 345-7320

Phone(304) 346-9400

Fax(304) 345-7320

Sole ProprietorYes

Medical School CMSOtherGraduated 1980

Enumeration DateNovember 21, 2006

Last NPPES UpdateMay 27, 2008

✔ NPI 1841365640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

Licenses✔ Licensed in WV · 18922✔ Licensed in OH · 35065363

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedPediatricsTaxonomy 208000000X · License 18922 (WV), 35065363 (OH)

4605 MACCORKLE AVE SW, South Charleston, WV 25309

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Other Identifiers 7

Medicaid64103021KY

Other001723812WV · Mtn St Bcbs

Other3607462003Cigna Healthcare

OtherW45031WV · Mountain State Bluecross

Other4505652WV · Aetna

Medicaid0933682OH

Medicaid0110693000WV

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 Anderson M.d. 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 ID5092281865

PECOS Enrollment IDI20260420000217

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.

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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.

DUSTIN CRITES

Physician Assistant