Individual provider Active NPI

Oliver O Tannous, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • San Diego, CA
National Provider Identifier
1285952655
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
A134817 Issued in CA
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

Updated by the provider on Dec 11, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161013000895 DC Practitioner - Orthopedic Surgery 2062729387 Reassigns benefits to 2 organizations

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
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
Suburban/NRH Medical Rehabilitation IncGroup PAC ID 6507846771, 885 clinicians

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 Home health agency, Hyattsville, MD, CCN 217150
  • Medstar Health Vna Home health agency, Washington, DC, CCN 097000
  • Medstar Washington Hospital Center Hospital, Washington, DC, CCN 090011
  • Medstar National Rehabilitation Hospital Inpatient rehabilitation facility, Washington, DC, CCN 093025

Merit-based Incentive Payment System (MIPS)

Final score
82.97 of 100Reported as group
Quality
72.87
Promoting interoperability
100
Improvement activities
40
Cost
67.82

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion246
Laminectomy or laminotomy (partial removal of spine bones)122
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A134817CAMDOrthopaedic Trauma Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MGMC, LLC CurrentSince Sep 1, 2016 Accepting new patients
Medstar Medical Group II LLC Orthopaedic Surgery of the Spine CurrentSince Sep 1, 2016 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 11, 2025 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 11, 2025 Accepting new patients
Medstar Washington Hospital Center Past Accepting new patients
Medstar Surgery Center at Brandywine, LLC PastSince Jul 3, 2017 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.