Individual provider Active NPI

John Joseph Tabor Jr., M.D.

  • Surgery Physician
  • Baton Rouge, LA
National Provider Identifier
1285894360
Registry record updated Jun 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD.204110 Issued in LA
Practice address
7777 Hennessy Blvd
Suite 612
Baton Rouge, LA 70808-4300
Phone
(225) 769-5656
Fax
(225) 766-6996
NPI assigned
Jun 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD.204110 LA Primary

Addresses

Primary practice location

7777 Hennessy Blvd
Suite 612
Baton Rouge, LA 70808-4300

Mailing address

7777 Hennessy Blvd
Suite 612
Baton Rouge, LA 70808-4300
Phone (225) 769-5656

Other identifiers 2

IdentifierTypeStateIssuer
1103357MedicaidLA
03128297MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20130918000608 LA Practitioner - General Surgery 2567606205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8585 Picardy Ave
Suite 318
Baton Rouge, LA 70809-3749
Phone (225) 333-3800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.3 of 100Reported as group
Quality
57.21
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)15
Upper gastrointestinal (GI) endoscopy for acid reflux34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.204110LAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge General Medical Center Surgery Current Accepting new patients
Baton Rouge General Medical Center CurrentSince Mar 5, 2021 Accepting new patients
Baton Rouge General Medical Center Past Accepting new patients
Mary Bird Perkins Cancer Center Past Accepting new patients

Locations

8585 Picardy Ave
Ste 318
Baton Rouge, LA 70809
Phone (225) 333-3800

8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000

8595 Picardy Ave
Ste 400
Baton Rouge, LA 70809
Phone (225) 333-3800

Organizations & group practices 4

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 7

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": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434067200000",
    "number": "1285894360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD",
            "address_2": "SUITE 612",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084300",
            "telephone_number": "225-769-5656",
            "fax_number": "225-766-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD",
            "address_2": "SUITE 612",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084300",
            "telephone_number": "225-769-5656",
            "fax_number": "225-766-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABOR",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-12",
        "last_updated": "2015-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "MD.204110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1103357",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03128297",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.