Active NPI
Virginia Tan Tabib, M.D.
- Hematology & Oncology Physician
- Merrillville, IN
National Provider Identifier
1013985258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 01032934
- Practice address
- 8127 Merrillville Rd
Merrillville, IN 46410-6158 - Phone
- (219) 769-4855
- Fax
- (219) 757-5629
- NPI assigned
- Mar 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 01032934 | IN | Primary |
Addresses
Primary practice location
8127 Merrillville Rd
Merrillville, IN 46410-6158
Mailing address
2600 Roosevelt Rd
Valparaiso, IN 46383-0970
Phone (219) 464-1620
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5171410004 | Other | IN | DMERC |
| 100208820 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01032934 | IN | MD | Hematology & Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221436800000",
"number": "1013985258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 ROOSEVELT RD",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463830970",
"telephone_number": "219-464-1620",
"fax_number": "219-757-5629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8127 MERRILLVILLE RD",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464106158",
"telephone_number": "219-769-4855",
"fax_number": "219-757-5629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABIB",
"first_name": "VIRGINIA",
"middle_name": "TAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2008-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IN",
"license": "01032934",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "5171410004",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100208820",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Merrillville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.