TAREK AJAM (M.D.) – Clinical Cardiac Electrophysiology Physician, NPI 1588059356

TAREK AJAM (M.D.) is a healthcare provider. based in Crown point, Indiana. specializing in CARDIAC ELECTROPHYSIOLOGY. They hold the professional credentials M.D.. They hold a License No. 6867620 (WI). The NPI Number for TAREK AJAM (M.D.) is 1588059356

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
TAREK AJAM (M.D.)
NPI
1588059356
Phone
(219) 947-6017
Address
10215 Broadway Fl 1
Enumeration Date
30 March 2015
Last Update Date
26 February 2024

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2199476017
Graduation Year
2015 (11 years ago)
PAC ID
4688977507
Group Practice PAC ID
3678737012
Professional Enrollment ID
I20230403001157
Address ID
IN463426638HO1500XAVEX500

Contacts

Secure Messaging
tajam199923@direct.myadvocateaurora.org
FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:11State licenses:3Other namesUpdated within 12 months

109 CARDIAC ELECTROPHYSIOLOGY in IN

Provider Addresses for TAREK AJAM (M.D.)

  • 10215 Broadway Fl 1

    Crown Point, IN 463078001

    Phone: (219) 947-6017

    Fax: (219) 947-6018

    Type: Location

  • 3800 Saint Mary Rd Ste 204

    Valparaiso, IN 463833986

    Phone: (219) 947-6017

    Fax: (219) 947-6018

    Type: Location

  • 6901 W EDGERTON AVE

    GREENFIELD, WI 532204420

    Phone: (414) 325-5244

    Fax: (904) 244-7388

    Type: Mailing

  • 8558 BROADWAY

    MERRILLVILLE, IN 464107032

    Phone: (219) 392-7084

    Fax: (219) 703-6854

    Type: Mailing

  • 1500 S LAKE PARK AVE STE 110

    HOBART, IN 463426638

    Phone: (219) 947-6017

    Fax: (219) 947-6018

    Type: Location

  • 2900 W OKLAHOMA AVE

    MILWAUKEE, WI 532154330

    Phone: (414) 649-6000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 242 Open Payments records for all available years, with a total value of $20,913.

Total Amount is formed as General ($20,913) + Research ($0) + Ownership ($0) = $20,913.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Medtronic, Inc. ($6,543).

Total Amount

$20,913

General + Research + Ownership

Payments

242

Total payment records

General Amount

$20,913

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-04-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230403001157ICardiac ElectrophysiologyINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes4843$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1912$0
99213Established patient office or other outpatient visit, 20-29 minutes1818$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1615$0
99204New patient office or other outpatient visit, 45-59 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 46307)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678737012View full group profile
NameSpecialtyState
Critical Care (Intensivists)IL
-IN
Nurse PractitionerIN
-IN
Cardiovascular Disease (Cardiology), Cardiac ElectrophysiologyIL
Nurse PractitionerIN
-IN
Gynecological Oncology, Obstetrics/GynecologyIN
-IN
Nurse PractitionerIN

Reviews

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Frequently asked questions

What is the standard ID for TAREK AJAM (M.D.) in the U.S.?
In the U.S., TAREK AJAM (M.D.) is identified by NPI 1588059356.
Quick check: is TAREK AJAM (M.D.) active?
Public NPPES data shows TAREK AJAM (M.D.) with an active NPI status right now.
What services align with TAREK AJAM (M.D.)'s listing?
TAREK AJAM (M.D.)'s public classification highlights Clinical Cardiac Electrophysiology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to TAREK AJAM (M.D.)?
TAREK AJAM (M.D.) is associated with Crown Point, Indiana in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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