Individual provider Active NPI

Reina M Tarabey, MD

  • Anatomic Pathology Physician
  • Chicago, IL
National Provider Identifier
1053402206
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
Practice address
2525 S Michigan Ave
Mercy Hospital and Medical Center
Chicago, IL 60616-2477
Phone
(312) 567-5433
Fax
(312) 328-7711
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X IL Primary

Addresses

Primary practice location

2525 S Michigan Ave
Mercy Hospital and Medical Center
Chicago, IL 60616-2477

Mailing address

PO Box 88487
Chicago, IL 60680-1487
Phone (312) 791-2000

Other identifiers 1

IdentifierTypeStateIssuer
02609553401MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050523000586 IL Practitioner - Pathology 0244272052 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Addison-Central Pathology PLLCGroup PAC ID 0840288304, 15 clinicians

Practice addresses (Care Compare)

7435 W Talcott Ave
Chicago, IL 60631-3707
Phone (847) 757-7515

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.15 of 100Reported as group
Quality
63.33
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036095534ILMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Pathology Consultants, PLLC CurrentSince Aug 19, 2022 Accepting new patients

Locations

2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053402206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88487",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606801487",
            "telephone_number": "312-791-2000",
            "fax_number": "312-791-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S MICHIGAN AVE",
            "address_2": "MERCY HOSPITAL AND MEDICAL CENTER",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162477",
            "telephone_number": "312-567-5433",
            "fax_number": "312-328-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARABEY",
        "first_name": "REINA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02609553401",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.