Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Tareq Z.S. Qdaisat, M.D.

Anatomic Pathology & Clinical Pathology Physician in Edgewood, KY · enumerated 2015.

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

National Provider Identifier

1366838831

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Registry record

Entity type Individual (Type 1)

Name Tareq Z.S. Qdaisat

Credential M.D.

Sex Male

Practice address 1 Medical Village Dr, Edgewood, KY, 41017

Phone (859) 301-2018

Fax (859) 301-2073

Enumeration date Apr 12, 2015

Last updated in NPPES Feb 29, 2024

Taxonomy & licenses

207ZP0102X Anatomic Pathology & Clinical Pathology Physician Allopathic & Osteopathic Physicians · License 01092443A (IN) Secondary

207ZP0102X Anatomic Pathology & Clinical Pathology Physician Allopathic & Osteopathic Physicians · License TP529 (KY) Secondary

207ZP0102X Anatomic Pathology & Clinical Pathology Physician Allopathic & Osteopathic Physicians · License 57980 (KY) Primary

207ZP0102X Anatomic Pathology & Clinical Pathology Physician Allopathic & Osteopathic Physicians · License 32402 (NE) Secondary

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

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

Where does Tareq Qdaisat practice?

The practice location on file with NPPES is in Edgewood, KY. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Tareq Qdaisat?

The National Provider Identifier (NPI) for Tareq Qdaisat is 1366838831, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-02-29.