Hamid R Esbah-Tabatabaie, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

19054 Issued in MA

Practice address

88 Montvale Ave
Suite 5
Stoneham, MA 02180-3643

Phone

(781) 438-7206

Fax

(781) 279-9029

NPI assigned

Apr 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hamid R Esbah Professional name

Medicare fee-for-service enrollment

Enrolled in MA

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

Oral SurgeryAlso: Maxillofacial Surgery

Education

Tufts University School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Merrimack Valley Oral Surgeons, IncGroup PAC ID 6901969401, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Merrimack Valley Oral Surgeons, Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Stoneham, MA
  • NPI 1356460810
  Medicare reassignment Care Compare group NPD
• Merrimack Valley Oral Surgeons, Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Lowell, MA
  • NPI 1437276698
  NPD

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231977600000",
    "number": "1265495709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 MONTVALE AVE",
            "address_2": "SUITE 5",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803643",
            "telephone_number": "781-438-7206",
            "fax_number": "781-279-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 MONTVALE AVE",
            "address_2": "SUITE 5",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803643",
            "telephone_number": "781-438-7206",
            "fax_number": "781-279-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESBAH-TABATABAIE",
        "first_name": "HAMID",
        "middle_name": "R",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2009-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "19054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0281395",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAMID",
            "last_name": "ESBAH",
            "middle_name": "R",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lauren Duran, PTA
• Sarah Marie Early, PTA
• Alan D Edelstein, M.D.
• Pamela Elis
• Ellen Malsky M.D LLC
• Angelica R Espinosa-Louissaint, M.D.
• Adjannie Ishtar F. Estuita, PT
• Eugene a Mickey, DMD, MPH, PC
• Erin Stephanie Evans, RN, CNP
• F Khajavi MD Facp Inc

• Oral and Maxillofacial Surgery (Dentist) in Stoneham, MA
• Providers in Stoneham, MA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.