Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shahzaib Tariq, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1851943039

Shahzaib Tariq, MD is a Neurology in Idaho Falls, Idaho. Qualified in 2015, 11 years ago. Practices with Blue Sky Telehealth LLC, a 67-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Pennsylvania.

Years since qualifying
11
Licensed in
ID, PA
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3100 Channing Way
Idaho Falls, ID 83404-7533
Phone: (208) 529-6111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 320 E North Ave, Pittsburgh, PA 15212-4772 — (412) 359-4971

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence M17001 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence MT218730 (PA)

Record details

NPI number1851943039
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 9, 2019
Last updated in NPPESJune 21, 2023
Certification dateJune 21, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Blue Sky Telehealth Llc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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