Individual provider Active NPI

Janine G Tabas, M.D.

  • Ophthalmology Physician
  • Philadelphia, PA
National Provider Identifier
1073502647
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD046158L Issued in PA
Practice address
601 Walnut St Suite 210W
Philadelphia, PA 19106-3323
Phone
(215) 925-6402
Fax
(215) 925-0262
NPI assigned
Oct 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD046158L PA Primary

Addresses

Primary practice location

601 Walnut St Suite 210W
Philadelphia, PA 19106-3323

Mailing address

601 Walnut St Suite 210W
Philadelphia, PA 19106-3323
Phone (215) 925-6402

Other practice location 1

50 Monument Rd Ste 110
Bala Cynwyd, PA 19004-1706
Phone (610) 667-6760

Other identifiers 1

IdentifierTypeStateIssuer
1491861/01MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20110411000330 PA Practitioner - Ophthalmology 0749285328 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Virginia Commonwealth University, School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kay and Tabas OphthalmologyGroup PAC ID 7315848991, 9 clinicians
Wills Eye Ophthalmology Clinic, IncGroup PAC ID 9133025166, 146 clinicians

Practice addresses (Care Compare)

50 Monument Rd
Suite 110
Bala Cynwyd, PA 19004-1706
Phone (610) 667-6760

840 Walnut St
Philadelphia, PA 19107-5109
Phone (215) 928-3041

Hospital & facility affiliations

  • Wills Eye Hospital Hospital, Philadelphia, PA, CCN 390331

Merit-based Incentive Payment System (MIPS)

Final score
89.81 of 100Reported as group
Quality
93.76
Promoting interoperability
93
Improvement activities
40
Cost
78.11

Merit-based Incentive Payment System (MIPS)

Final score
87.34 of 100Reported as group
Quality
80.85
Promoting interoperability
100
Improvement activities
40
Cost
76.95

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery330

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wills Eye Ophthalmology Clinic, Inc Ophthalmology CurrentSince Jul 1, 2002 Accepting new patients
Kay & Tabas Ophthalmology Associates Ophthalmology CurrentSince Jun 25, 1992 Accepting new patients
Vantage Eyecare, LLC PastSince Sep 6, 2020 Accepting new patients

Locations

50 Monument Rd
Ste 110
Bala Cynwyd, PA 19004
Phone (610) 667-6760

840 Walnut St
Ste 1230
Philadelphia, PA 19107
Phone (215) 440-3160

170 S Independence Mall W
Ste 210W
Philadelphia, PA 19106
Phone (215) 925-6402

601 Walnut St W
Philadelphia, PA 19106
Phone (215) 629-1866

8025 Roosevelt Blvd
Philadelphia, PA 19152
Phone (215) 423-5154

840 Walnut St
Ste 1250
Philadelphia, PA 19107
Phone (215) 928-3900

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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 1

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": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1073502647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 WALNUT ST SUITE 210W",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191063323",
            "telephone_number": "215-925-6402",
            "fax_number": "215-925-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 WALNUT ST SUITE 210W",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191063323",
            "telephone_number": "215-925-6402",
            "fax_number": "215-925-0262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Monument Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Bala Cynwyd",
            "state": "PA",
            "postal_code": "190041706",
            "country_code": "US",
            "telephone_number": "610-667-6760",
            "fax_number": "610-667-7206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TABAS",
        "first_name": "JANINE",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD046158L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1491861/01",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.