Tariq Elmadawy
NPI 1164109336ActiveIndividual· Dentist· Green Bay, WI
Dentist in Green Bay, Wisconsin, licensed in MI and WI, with an NPI issued in June 2023. Part D covered 32 prescriptions written in 2024, 97% of them generic.
Overview
| NPI | 1164109336 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jun 29, 2023 |
| Last updated in NPPES | Jan 27, 2025 |
| Certified by provider | Jan 27, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 2901601681 | MI |
| Dentist | 122300000X | 6001237-15 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 32 · 32 30-day fills |
|---|---|
| Patients | 17 |
| Total drug cost | $159.31 |
| Generic share | 97% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other dentists in Green Bay
- 1043664204
- 1083722169
- 1114453024
- 1134568884
- 1164801239
- 1184240236
- 1205941960
- 1215656343
- 1306971098
- 1316072093
- 1326495961
- 1396150777