NPIMap

Individual provider Active NPI

Rehab Tabchi, DO

  • Family Medicine Physician
  • Pottsville, PA
National Provider Identifier
1285815068
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS015215 Issued in PA
Practice address
529 Terry Reiley Way
Pottsville, PA 17901-1774
Phone
(570) 624-4444
NPI assigned
Nov 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OT011973 PA
Family Medicine Physician 207Q00000X OS015215 PA Primary

Addresses

Primary practice location

529 Terry Reiley Way
Pottsville, PA 17901-1774

Mailing address

421 Chew Street
Allentown, PA 18102-3406
Phone (610) 776-5315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101028000312 PA Practitioner - Family Practice 1052505617 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Star Community Health IncGroup PAC ID 7618215237, 56 clinicians

Practice addresses (Care Compare)

511 E 3Rd St
Suite 200
Bethlehem, PA 18015-2072
Phone (484) 526-4700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT011973PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc. CurrentSince Jun 23, 2018 Accepting new patients
St Luke's Physician Group Inc Family Medicine CurrentSince Jun 23, 2018 Accepting new patients
Star Community Health, Inc CurrentSince Feb 2, 2019 Accepting new patients
Star Community Health, Inc CurrentSince Feb 2, 2019 Accepting new patients
St. Luke's Physician Group, Inc. Family Medicine Current Accepting new patients
Geisinger Clinic Family Medicine Past Accepting new patients

Locations

450 Chew St
Ste 101
Allentown, PA 18102
Phone (610) 776-4565

421 Chew St
Allentown, PA 18102
Phone (610) 776-4500

450 Chew St
Allentown, PA 18102
Phone (610) 776-4802

511 E 3rd St
Ste 200
Bethlehem, PA 18015
Phone (484) 526-4700

4311 Easton Ave
Bethlehem, PA 18020
Phone (610) 954-3600

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Organizations & group practices 6

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 6

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": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1285815068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 CHEW STREET",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181023406",
            "telephone_number": "610-776-5315",
            "fax_number": "610-663-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 TERRY REILEY WAY",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179011774",
            "telephone_number": "570-624-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABCHI",
        "first_name": "REHAB",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-20",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT011973",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS015215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

Verify at the official NPI Registry.