Steven Michael Taback, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

G062972 Issued in CA

Practice address

201 S. Buena Vista St.
Suite 440
Burbank, CA 91505

Phone

(818) 842-4819

Fax

(818) 842-2086

NPI assigned

Feb 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine

Education

R Franklin University of Med & Sci/Chicago Medical School, 1986

Medicare assignment

May accept Medicare assignment

Group practices

Consultants for Lung Diseases Medical Group IncGroup PAC ID 7517948474, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Saint Joseph Medical Ctr Hospital, Burbank, CA, CCN 050235

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Consultants for Lung Diseases Medical Group Inc.

  • Specialist
  • Burbank, CA
  • NPI 1972525061
  Medicare reassignment Care Compare group NPD Authorized official
• St. Joseph Hospitalist Medical Group, Inc.

  • Internal Medicine Physician
  • Burbank, CA
  • NPI 1396166971
  Medicare reassignment NPD
• St. Joseph Pulmonary Diagnostic Medical Group

  • Specialist
  • Burbank, CA
  • NPI 1013035864
  NPD (past) Authorized official
• Critical Care Consultants of Burbank Inc.

  • Critical Care Medicine (Internal Medicine) Physician
  • Burbank, CA
  • NPI 1174359061
  NPD
• Foothill Pulmonary & Critical Care Consultants Medical Group Inc.

  • Critical Care Medicine (Internal Medicine) Physician
  • Pasadena, CA
  • NPI 1205862489

  Pulmonary Disease

  NPD (past)
• Glendale Adventist Medical Center

  dba Adventist Health Glendale

  • Skilled Nursing Facility
  • Glendale, CA
  • NPI 1114916293
  NPD (past)
• Providence Health System - Southern California

  dba Providence Saint Joseph Medical Center

  • General Acute Care Hospital
  • Burbank, CA
  • NPI 1336173269
  NPD (past)
• Providence Health System - Southern California

  dba Providence Holy Cross Medical Center

  • General Acute Care Hospital
  • Mission Hills, CA
  • NPI 1477587632
  NPD (past)
• Tarzana Medical Center LLC

  dba Providence Cedars-Sinai Tarzana Medical Center

  • General Acute Care Hospital
  • Tarzana, CA
  • NPI 1821250762
  NPD (past)
• Usc Verdugo Hills Hospital, LLC

  dba Verdugo Hills Hospital

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1265875207
  NPD (past)

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

• Providence Health System - Southern California

  dba Providence Saint Joseph Medical Center

  • General Acute Care Hospital
  • Burbank, CA
  • NPI 1336173269
  Care Compare affiliation

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392336000000",
    "number": "1225004021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S. BUENA VISTA ST.",
            "address_2": "SUITE 440",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91505",
            "telephone_number": "818-842-4819",
            "fax_number": "818-842-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S. BUENA VISTA ST.",
            "address_2": "SUITE 440",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91505",
            "telephone_number": "818-842-4819",
            "fax_number": "818-842-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABACK",
        "first_name": "STEVEN",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2014-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "CA",
            "license": "G062972",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G062972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ77466Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN (RXR MEDICARE)",
            "identifier": "290004747",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monika Symms, M.D.
• Synergy Diagnostics Inc
• Christine Szeto, MD
• T.H.E.Home Health Group, Inc.
• T.I.L.S. Inc. (Glenoaks Adult Day Health Care Center)
• Vanessa Tabares
• Farnoosh Tabesh, D.D.S
• Anderson Tablas
• George S. Tabor, M.D.
• Hermela Tadele

• Pulmonary Disease Physician in Burbank, CA
• Providers in Burbank, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.