Active NPI
Noor Tarabishy, MD
- Emergency Medicine Physician
- Flint, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4301506938
- Practice address
- 401 S Ballenger Hwy
Flint, MI 48532-3638 - Phone
- (810) 342-2000
- NPI assigned
- Mar 28, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 4301506938 | MI | Primary |
Addresses
Primary practice location
401 S Ballenger Hwy
Flint, MI 48532-3638
Mailing address
401 S Ballenger Hwy
Flint, MI 48532-3638
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Wayne State University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2450 Ashby Ave
Berkeley, CA 94705-2067
Phone (510) 204-4444
Hospital & facility affiliations
- Alta Bates Summit Medical Center
- Alta Bates Summit Medical Center - Alta Bates Camp
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Degara App, PLLC | Emergency Medicine | Current | Accepting new patients |
| McLaren Medical Group | Current | Accepting new patients | |
| McLaren Medical Group | Emergency Medicine | Current | Accepting new patients |
| Berkeley Emergency Medical Group, Inc. | Emergency Medicine | Current | Accepting new patients |
| Berkeley Emergency Medical Group, Inc. | Emergency Medicine | Current | Accepting new patients |
Locations
2450 Ashby Ave
Berkeley, CA 94705
Phone (510) 204-1566
350 Hawthorne Ave
Oakland, CA 94609
Phone (510) 655-4000
39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880
2420 Owen Rd
Ste A
Fenton, MI 48430
Phone (810) 496-2460
401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000
401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286
50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300
5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556
Interoperability endpoints
- ntarabishy667681@hisp.ehr.sutterhealth.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Oakland, CA
- NPI 1508874454
-
- Emergency Medicine Physician
- Lansing, MI
- NPI 1265976971
-
- Diagnostic Radiology Physician
- Lapeer, MI
- NPI 1073650750
-
- Emergency Medicine Physician
- Berkeley, CA
- NPI 1780692632
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1295181477
-
- General Acute Care Hospital
- Berkeley, CA
- NPI 1639523004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672876800000",
"number": "1043771348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 S BALLENGER HWY",
"city": "FLINT",
"state": "MI",
"postal_code": "485323638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 S BALLENGER HWY",
"city": "FLINT",
"state": "MI",
"postal_code": "485323638",
"telephone_number": "810-342-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARABISHY",
"first_name": "NOOR",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-28",
"last_updated": "2023-01-05",
"certification_date": "2023-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301506938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.