Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Tarif Bakdash, M.D.

Neurology with Special Qualifications in Child Neurology Physician in Lexington, KY · enumerated 2010.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104141712

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Registry record

Entity type Individual (Type 1)

Name Tarif Bakdash

Credential M.D.

Sex Male

Practice address 2195 Harrodsburg Rd Fl 2, Lexington, KY, 40504

Phone (859) 562-1868

Fax (859) 257-0421

Enumeration date Apr 7, 2010

Last updated in NPPES Nov 2, 2023

Taxonomy & licenses

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 2012014535 (MO) Secondary

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 4301055614 (MI) Secondary

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 12298 (MT) Secondary

2084N0402X Neurology with Special Qualifications in Child Neurology Physician Allopathic & Osteopathic Physicians · License 4301055614 (MI) Secondary

2084N0400X Neurology Physician Allopathic & Osteopathic Physicians · License 63034 (WI) Secondary

2084N0402X Neurology with Special Qualifications in Child Neurology Physician Allopathic & Osteopathic Physicians · License 63034 (WI) Secondary

2084N0402X Neurology with Special Qualifications in Child Neurology Physician Allopathic & Osteopathic Physicians · License 24539 (MS) Secondary

2084N0600X Clinical Neurophysiology Physician Allopathic & Osteopathic Physicians · License 58549 (KY) Secondary

2084N0600X Clinical Neurophysiology Physician Allopathic & Osteopathic Physicians · License 63034 (WI) Secondary

2084N0402X Neurology with Special Qualifications in Child Neurology Physician Allopathic & Osteopathic Physicians · License 58549 (KY) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
431560263	Other	MO	TRICARE
P01110482	Other	MO	RR MCR
12298	Other	MT	LICENSE
192753001	Medicaid	AR	-
200435170A	Medicaid	OK	-
05127841	Medicaid	MS	-
1104141712	Medicaid	MO	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Tarif Bakdash's NPI record?

Cross-check NPI 1104141712 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1104141712 active?

Yes, as of the latest NPPES snapshot, NPI 1104141712 is active (record last updated 2023-11-02).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-11-02.