DR. TARIQ ELAGAMY (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1003436486

DR. TARIQ ELAGAMY (DPM) is a healthcare provider. based in Warren, Michigan. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 692294 (TX). The NPI Number for DR. TARIQ ELAGAMY (DPM) is 1003436486

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. TARIQ ELAGAMY (DPM)
NPI
1003436486
Phone
(586) 574-0500
Address
29433 RYAN RD
Enumeration Date
25 April 2020
Last Update Date
6 May 2026

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
5865740500
Graduation Year
2020 (6 years ago)
PAC ID
8628491966
Group Practice PAC ID
9436167814
Professional Enrollment ID
I20230725001432
Address ID
MI480922203WA29433RDXX300
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

753 PODIATRY in MI

Provider Addresses for DR. TARIQ ELAGAMY (DPM)

  • 29433 RYAN RD

    WARREN, MI 480922203

    Phone: (586) 574-0500

    Type: Mailing

  • 11900 E 12 MILE RD STE 102

    WARREN, MI 480933487

    Phone: (586) 573-7470

    Type: Mailing

  • 5323 HARRY HINES BOULEVARD DALLAS TEXAS 75390

    DALLAS, TX 753900001

    Phone: (214) 648-3433

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $762.

Total Amount is formed as General ($762) + Research ($0) + Ownership ($0) = $762.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Stryker Corporation ($378).

Total Amount

$762

General + Research + Ownership

Payments

9

Total payment records

General Amount

$762

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2023-07-25

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
I20230725001432IPodiatryMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48092)

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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: 9436167814View full group profile
NameSpecialtyState
P O D I A T R YMI
P O D I A T R YMI
P O D I A T R YMI
P O D I A T R YMI
P O D I A T R YMI
Nurse PractitionerMI
P O D I A T R YMI

Reviews

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Frequently asked questions

Is there an official ID for DR. TARIQ ELAGAMY (DPM) in U.S. healthcare records?
The official identifier for DR. TARIQ ELAGAMY (DPM) is NPI 1003436486.
Is DR. TARIQ ELAGAMY (DPM) still an active registrant?
DR. TARIQ ELAGAMY (DPM) carries an active NPI according to the public dataset.
How would a patient describe DR. TARIQ ELAGAMY (DPM)'s focus?
For DR. TARIQ ELAGAMY (DPM), the primary taxonomy reads as Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Where in Michigan is DR. TARIQ ELAGAMY (DPM) registered?
Use Warren, Michigan as the headline location for DR. TARIQ ELAGAMY (DPM) here.
Does DR. TARIQ ELAGAMY (DPM) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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