Active NPI
Oliver O Tannous, M.D.
- Orthopaedic Surgery of the Spine Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- A134817
- Practice address
- 350 Dickinson St
Suite 121, MC 8894
San Diego, CA 92103-1913 - Phone
- (858) 248-6456
- NPI assigned
- May 11, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | A134817 | CA | Primary |
| Orthopaedic Trauma Physician | 207XX0801X | A134817 | CA |
Addresses
Primary practice location
350 Dickinson St
Suite 121, MC 8894
San Diego, CA 92103-1913
Mailing address
350 Dickinson Street
Suite 121
San Diego, CA 92103
Phone (858) 248-6456
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Maryland School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone (202) 444-2000
6410 Rockledge Dr
Bethesda, MD 20817-1844
Hospital & facility affiliations
- Medstar Health Home Care
- Medstar Health Vna
- Medstar Washington Hospital Center
- Medstar National Rehabilitation Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.97 of 100
- Quality
- 72.87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 67.82
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 246 |
| Laminectomy or laminotomy (partial removal of spine bones) | 122 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A134817 | CA | MD | Orthopaedic Trauma Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MGMC, LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Orthopaedic Surgery of the Spine | Current | Accepting new patients |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Washington Hospital Center | Past | Accepting new patients | |
| Medstar Surgery Center at Brandywine, LLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Medstar Georgetown Medical Center, Inc | Past | Accepting new patients | |
| Medstar Medical Group II LLC | Past | Accepting new patients |
Locations
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000
106 Irving St NW
Ste 5000
Washington, DC 20010
Phone (202) 877-3322
106 Irving St NW
Washington, DC 20010
Phone (202) 877-0275
3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203
12158 Central Ave
Mitchellville, MD 20721
Phone (301) 390-3076
Organizations & group practices 10
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.
-
- General Practice Physician
- Washington, DC
- NPI 1891797148
-
- Rehabilitation Clinic/Center
- Bethesda, MD
- NPI 1457354748
-
- General Practice Physician
- White Plains, MD
- NPI 1407559081
Orthopaedic Surgery of the Spine
-
- Diagnostic Radiology Physician
- Washington, DC
- NPI 1578302055
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Internal Medicine Physician
- Washington, DC
- NPI 1285636522
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
-
- Ambulatory Surgical Clinic/Center
- Brandywine, MD
- NPI 1386161495
-
- General Acute Care Hospital
- Washington, DC
- NPI 1548378235
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Greenbelt, MD
- NPI 1154437879
-
- Home Health Agency
- Washington, DC
- NPI 1407960248
-
- General Acute Care Hospital
- Washington, DC
- NPI 1548378235
-
- Rehabilitation Hospital
- Washington, DC
- NPI 1528061827
Inpatient rehabilitation facility
-
- Rehabilitation Clinic/Center
- Oxon Hill, MD
- NPI 1578639761
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449792000000",
"number": "1285952655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 DICKINSON STREET",
"address_2": "SUITE 121",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92103",
"telephone_number": "858-248-6456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 DICKINSON ST",
"address_2": "SUITE 121, MC 8894",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921031913",
"telephone_number": "858-248-6456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANNOUS",
"first_name": "OLIVER",
"middle_name": "O",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-11",
"last_updated": "2015-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "CA",
"license": "A134817",
"primary": true
},
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "CA",
"license": "A134817",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; 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.