TARIQ J HENDAWI – Family Nurse Practitioner, NPI 1518439819

TARIQ J HENDAWI is a healthcare provider. based in Dallas, Texas. specializing in NURSE PRACTITIONER. They hold a License No. AP139932 (TX). The NPI Number for TARIQ J HENDAWI is 1518439819

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
TARIQ J HENDAWI
NPI
1518439819
Phone
(972) 971-4454
Address
14902 PRESTON RD
Enumeration Date
27 December 2018
Last Update Date
14 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4698543546
Graduation Year
2018 (8 years ago)
PAC ID
6305184557
Group Practice PAC ID
9931422169
Professional Enrollment ID
I20190213000970
Address ID
TX750358298FR12505RDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

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Provider Addresses for TARIQ J HENDAWI

  • Dirty Dawgz, 14902, Preston Road, Dallas, Dallas County, Texas, 75254, United States

    STE 404

    DALLAS, TX 752549105

    Phone: (972) 971-4454

    Type: Mailing

  • 220, West Plano Parkway, Plano, Collin County, Texas, 75075, United States

    PLANO, TX 750934475

    Phone: (972) 971-4454

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2019-02-13

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
I20190213000970INurse PractitionerTXTBD

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 75254)

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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: 9931422169View full group profile
NameSpecialtyState
Internal Medicine, Infectious DiseaseTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

How is TARIQ J HENDAWI identified in CMS data?
CMS-hosted NPPES data lists TARIQ J HENDAWI with NPI 1518439819.
Can I rely on TARIQ J HENDAWI being an active provider?
As of the registry snapshot, TARIQ J HENDAWI is marked active.
What is TARIQ J HENDAWI's specialty?
The listing groups TARIQ J HENDAWI with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for TARIQ J HENDAWI?
TARIQ J HENDAWI's geographic hint is Dallas, Texas in our summary view.
Why does TARIQ J HENDAWI have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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