Noujan Adl-Tabatabai, MD
Individual provider Active NPI Emergency Medicine Physician · Burbank, CA
NPI 1174693352 · NPPES record last updated May 28, 2008
Key facts
- NPI
- 1174693352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- A101867 (CA)
- Practice address
- 2550 N Hollywood Way
Suite 204
Burbank, CA 91505-1055 - Phone
- (818) 557-0135
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Albert Einstein College of Medicine of Yeshiva University, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Glendale Adventist Emergency Physicians Incorporated
Practice addresses (Care Compare)
1509 Wilson Ter
Glendale, CA 91206-4007
Phone (818) 863-4000
Hospital & facility affiliations
- Glendale Adventist Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.08 of 100
- Quality
- 72.14
- Promoting interoperability
- 98
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080806000351 | CA | Practitioner - Emergency Medicine | 0547231557 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A101867 | CA | MD | Emergency Medicine Physician |
| A101876 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parker Valley Emergency Physicians Medical Group Inc | Emergency Medicine | Current |
Accepting new patients |
| Montefiore Medical Center | Emergency Medicine | Past | Accepting new patients |
Locations
1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 232492 | NY | |
| Emergency Medicine Physician | 207P00000X | A101867 | CA | Yes |
Addresses
Primary practice location
2550 N Hollywood Way
Suite 204
Burbank, CA 91505-1055
Mailing address
PO Box 4565
Ontario, CA 91761-0819
Phone (323) 440-0998
Other providers in Burbank, CA
- Lisa Adams
- Adducio, Inc.
- Angela Adelman
- Justine Nicole Adelman
- Ifeoluwa Jonathan Aderinto
- Adlife Hospice, Inc.
- Anashe Admean
- Adonai Care Hospice, Inc.
- Advance Home Care, Inc.
- Advance Sleep Center Inc
All providers in Burbank, CA · Emergency Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.