TAREK HAIDAR (M.D.) – Addiction Medicine (Family Medicine) Physician, NPI 1093330599
Addiction Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
30 ADDICTION MEDICINE in MO
Provider Addresses for TAREK HAIDAR (M.D.)
MENORAH MEDICAL CENTER HCA GRADUATE MEDICAL EDUCATION
12140 NALL AVE STE 300
OVERLAND PARK, KS 66209
Phone: (913) 498-6537
Fax: (913) 498-6708
Type: Mailing
RESEARCH MEDICAL CENTER / GOPPERT FAMILY MEDICINE
6675 HOLMES ROAD, STE 450
KANSAS CITY, MO 64131
Phone: (816) 995-3070
Fax: (816) 276-7090
Type: Location
503 E 26TH ST
TACOMA, WA 984211343
Phone: (253) 881-7001
Fax: (253) 881-7002
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $399.
Total Amount is formed as General ($399) + Research ($0) + Ownership ($0) = $399.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Braeburn Inc. ($189).
Total Amount
$399
General + Research + Ownership
Payments
6
Total payment records
General Amount
$399
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Braeburn Inc. | $189 |
| Gilead Sciences, Inc. | $112 |
| Indivior Inc. | $53 |
| ABBVIE INC. | $45 |
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: 2024-12-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241226001746 | I | Addiction Medicine | TX | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 66209)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WA | |
| P S Y C H I A T R Y | HI | |
| Mental Health Counselor | WA | |
| Internal Medicine | CO | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | WA | |
| Mental Health Counselor | WA | |
| Nurse Practitioner | WA |
Reviews
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