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

Tarek Haidar, MD

Individual provider Addiction Medicine (Family Medicine) Physician · NPI 1093330599

Tarek Haidar, MD is an Addiction Medicine in Tacoma, Washington. Qualified in 2019, 7 years ago. Practices with Revive Pathway, a 12-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
7
Licensed in
WA
In the registry since
2020
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

503 E 26th St
Tacoma, WA 98421-1343
Phone: (253) 881-7001
Fax: (253) 881-7002
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Family Medicine) Physician (primary) Taxonomy 207QA0401X · Licence MD61404020 (WA)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD61404020 (WA)

Record details

NPI number1093330599
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 10, 2020
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024
Mailing address503 E 26th St, Tacoma, WA 98421-1343

Medicare enrollment

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

Medicare specialtyADDICTION MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Revive Pathway — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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