Individual provider Active NPI

Isam Tabbah, M.D.

  • General Practice Physician
  • Dublin, OH
National Provider Identifier
1124024575
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
35.038859 Issued in OH
Practice address
5126 Silver Woods LN
Dublin, OH 43016-7073
Phone
(740) 502-9284
NPI assigned
Jun 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 35.038859 OH Primary

Addresses

Primary practice location

5126 Silver Woods LN
Dublin, OH 43016-7073

Mailing address

5126 Silver Woods LN
Dublin, OH 43016-7073
Phone (740) 502-9284

Other identifiers 1

IdentifierTypeStateIssuer
0304763MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20101119000299 OH Practitioner - General Practice 5799809463

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.038859OHMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harrison Community Hospital, Inc. CurrentSince Apr 23, 2012 Accepting new patients
Belmont County Health Services Inc CurrentSince Apr 23, 2012 Accepting new patients

Locations

951 E Market St
Cadiz, OH 43907
Phone (740) 942-4631

943 E Market St
Ste A
Cadiz, OH 43907
Phone (740) 942-2716

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.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1124024575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5126 SILVER WOODS LN",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430167073",
            "telephone_number": "740-502-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5126 SILVER WOODS LN",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430167073",
            "telephone_number": "740-502-9284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABBAH",
        "first_name": "ISAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "35.038859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0304763",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.