TARIQ HALASA (MD) – Adolescent Medicine (Internal Medicine) Physician, NPI 1043754039

TARIQ HALASA (MD) is a healthcare provider. based in Hannibal, Missouri. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 2021026797 (MO). The NPI Number for TARIQ HALASA (MD) is 1043754039

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
TARIQ HALASA (MD)
NPI
1043754039
Phone
(573) 629-3342
Address
6000 Hospital Dr
Enumeration Date
9 December 2016
Last Update Date
19 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3149965772
Graduation Year
2015 (11 years ago)
PAC ID
8729482757
Group Practice PAC ID
3072421254
Professional Enrollment ID
I20210812000854
Address ID
MO631312329SA3015XRDXX400

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness95
Years active:9State licenses:2Other names

4,190 INTERNAL MEDICINE in MO

Provider Addresses for TARIQ HALASA (MD)

  • 6000 Hospital Dr

    Hannibal, MO 634016887

    Phone: (573) 629-3342

    Fax: (573) 629-3432

    Type: Location

  • 374, Harman Street, Ridgewood, Bushwick, Brooklyn, Kings County, New York, 11237, United States

    APT 4F

    BROOKLYN, NY 112374702

    Phone: (347) 264-6796

    Type: Mailing

  • Wyckoff Heights Medical Center, 374, Stockholm Street, Ridgewood, Bushwick, Brooklyn, Kings County, New York, 11237, United States

    BROOKLYN, NY 112374006

    Phone: (718) 963-7331

    Type: Location

  • 621 S NEW BALLAS RD STE 112A

    SAINT LOUIS, MO 631418252

    Phone: (314) 251-6339

    Type: Mailing

  • 232 S WOODS MILL RD

    CHESTERFIELD, MO 630173485

    Phone: (314) 434-1500

    Type: Mailing

  • 3015 N BALLAS RD

    SAINT LOUIS, MO 631312329

    Phone: (314) 996-5772

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $119.

Total Amount is formed as General ($119) + Research ($0) + Ownership ($0) = $119.

Last reported payment date: 2023-10-23 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($119).

Total Amount

$119

General + Research + Ownership

Payments

1

Total payment records

General Amount

$119

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-23

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: 2025-06-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 6 Medicare enrollment records; no due dates published yet.

Enrollment records

6

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
I20210812000854IInternal MedicineMOTBD
I20231122000254IHospitalistFLTBD
I20240307002912IInternal MedicineNJTBD
I20250312003526IInternal MedicineLATBD
I20250501000606IHospitalistVTTBD
I20250619002289IInternal MedicineWYTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes548228$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes8649$0
99239Hospital discharge day management, more than 30 minutes8686$0
99238Hospital discharge day management, 30 minutes or less8583$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5555$0
View full utilization report →

Insurance plans in this area (ZIP 63401)

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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: 3072421254View full group profile
NameSpecialtyState
-MO
-MO
Family PracticeMO
Hospitalist, Family PracticeMO
Internal MedicineMO
-MO
Family PracticeMO
Internal MedicineIL
Internal Medicine, HospitalistMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

Is TARIQ HALASA (MD) listed with a National Provider Identifier?
Yes — TARIQ HALASA (MD) has NPI 1043754039 on file in the registry.
Is there an active status for TARIQ HALASA (MD)?
For scheduling context, TARIQ HALASA (MD) is shown as active in the registry.
What kind of doctor is TARIQ HALASA (MD)?
TARIQ HALASA (MD) is associated with Adolescent Medicine (Internal Medicine) Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Missouri is TARIQ HALASA (MD) registered?
Use Hannibal, Missouri as the headline location for TARIQ HALASA (MD) here.
Can I trust this NPI listing for TARIQ HALASA (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.