Individual provider Active NPI

Nader Tadros, D.O.

  • Family Medicine Physician
  • Warner Robins, GA
National Provider Identifier
1144299967
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MB66363 Issued in NJ
Practice address
655 South 7TH Street BLDG 700/700-a
78 MDG/Mdos Rafb
Warner Robins, GA 31098
Phone
(478) 327-7812
NPI assigned
Mar 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MB66363 NJ Primary

Addresses

Primary practice location

655 South 7TH Street BLDG 700/700-a
78 MDG/Mdos Rafb
Warner Robins, GA 31098

Mailing address

655 South 7TH Street BLDG 700/700-a
78 MDG/Mdos Rafb
Warner Robins, GA 31098
Phone (478) 327-7812

Other identifiers 1

IdentifierTypeStateIssuer
7469004MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170407001526 NJ Practitioner - Family PracticePractitioner - Emergency Medicine 9234415167 Reassigns benefits to 1 organization
I20230720001270 TX Practitioner - Family Practice 9234415167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1921 Stonecipher Dr
Ada, OK 74820-3439
Phone (580) 436-3980

Hospital & facility affiliations

  • Chickasaw Nation Medical Center Hospital, Ada, OK, CCN 370180

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB66363NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Urgent Care Medicine of New Jersey LLP CurrentSince Jun 1, 2021 Accepting new patients
Inspira Health Network Medical Group, P.C. Past Accepting new patients

Locations

2322 Route 38
Cherry Hill, NJ 08002
Phone (856) 779-0783

1210 Route 130 N
Ste 1438
Cinnaminson, NJ 08077
Phone (551) 313-0170

1 Harmon Plz
Ste 1010
Secaucus, NJ 07094

Interoperability endpoints

  • Direct secure messaging: ntadros28208@direct.chickasawnationhealth.net

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 5

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": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1144299967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 SOUTH 7TH STREET BLDG 700/700-A",
            "address_2": "78 MDG/MDOS RAFB",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "31098",
            "telephone_number": "478-327-7812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 SOUTH 7TH STREET BLDG 700/700-A",
            "address_2": "78 MDG/MDOS RAFB",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "31098",
            "telephone_number": "478-327-7812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADROS",
        "first_name": "NADER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB66363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7469004",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.