Tareq Z.s. Qdaisat, M.D.
Anatomic Pathology & Clinical Pathology Physician · Edgewood, KY
Tareq Z.s. Qdaisat, M.D. is an anatomic pathology & clinical pathology physician with a practice address in Edgewood, Kentucky, and NPI 1366838831, issued on Apr 12, 2015. Check the license (Kentucky 57980, as entered in NPPES) on the Kentucky Board of Medical Licensure; the Medicare figures below come from public CMS files.
- Name
- Tareq Z.s. Qdaisat
- Credential
- M.D.
- Primary taxonomy
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License numbers
- 57980 KY
TP529 KY
01092443A IN
32402 NE
Self-reported in NPPES; status is on the state search - Practice location
- 1 Medical Village Dr, Edgewood, KY 41017
- Phone
- (859) 301-2018
- Enumerated
- Apr 12, 2015
- Record last updated
- Feb 29, 2024
- Fax
- (859) 301-2073
- Medicare enrollment
- Enrolled (PECOS I20230613003303); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest anatomic pathology & clinical pathology physician records → All 215 in Kentucky → Look up another NPI →
Also registered at 1 Medical Village Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Joshua Abell, MDEmergency Medicine Physician1578983508
- Adrian AcostaHospitalist Physician1609436070
- Braxton Adkins, M.D.Anesthesiology Physician1780115253
- Jordan Adler, M.D.Hospitalist Physician1255711800
- Masroor Alam, MDAnesthesiology Physician1720069388
- Sajen Alexander, DOAnesthesiology Physician1992265466
Verify Tareq Z.s. Qdaisat in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersKentucky Board of Medical Licensure
Search for license 57980Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through 2 group practices
- Austin Pathology AssociatesBryan, TX
- St Elizabeth Medical Center, IncEdgewood, KY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Tareq Z.s. Qdaisat among 215 anatomic pathology & clinical pathology physician records in Kentucky
Tareq Z.s. Qdaisat, M.D. is one of 215 anatomic pathology & clinical pathology physician records with a practice address in Kentucky. 64% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 89% of them.
- NPI issued2015 · 89% of these records are older, 9% newer
- In a Medicare fileYes · 64% of these records are
- In the CMS Doctors and Clinicians fileYes · 58% of these records are
- Graduated2007 · median 2000 among the 125 with a school on file
- Record last updated2024 · 78% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207ZP0102X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
13 anatomic pathology & clinical pathology physician records list a practice address in Edgewood
They are 13 of the 1,159 NPPES records with a practice address in Edgewood, and 215 anatomic pathology & clinical pathology physician records in Kentucky.
All 215 in Kentucky → Every provider in Edgewood → Anatomic Pathology & Clinical Pathology Physician nationwide →
The 8 anatomic pathology & clinical pathology physician records with the nearest ZIP codes
- Deema AlkapalanEdgewood, KY 410171992051395
- Donn Burns, MDEdgewood, KY 410171285725739
- Jeremy Hart, MDEdgewood, KY 410171750609053
- Jennifer Leidy, M.D.Edgewood, KY 410171346561008
- Ahmad Mansour, MDEdgewood, KY 410171649585209
- Shelley Odronic, M.D.Edgewood, KY 410171851616676
- Jackson Pemberton, MDEdgewood, KY 410171891781969
- Micaela Ross, MDEdgewood, KY 410171235346453
Common questions
What is Tareq Z.s. Qdaisat, M.D.'s NPI number?
Tareq Z.s. Qdaisat, M.D.'s National Provider Identifier (NPI) is 1366838831, issued on Apr 12, 2015. An NPI identifies a provider in billing; it is not a license.
Where is Tareq Z.s. Qdaisat, M.D. located?
The NPPES record lists a practice address at 1 Medical Village Dr, Edgewood, KY, 41017. Phone: (859) 301-2018. Providers update this record themselves, so call before visiting.
How can I verify Tareq Z.s. Qdaisat, M.D.'s license?
NPPES lists Kentucky license number 57980, as entered by the provider. Search the Kentucky Board of Medical Licensure at https://web1.ky.gov/GenSearch/LicenseSearch.aspx?AGY=5. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.