Borna Ethan Tabibian, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

U4646 Issued in TX

Practice address

301 Seton Pkwy Ste 402
Round Rock, TX 78665-8003

Phone

(512) 810-3080

NPI assigned

Apr 11, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Neurology

Education

Texas Tech University Health Science Center School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dell Seton Med Center at the University of TX Hospital, Austin, TX, CCN 450124
• Ascension Seton Medical Center Austin Hospital, Austin, TX, CCN 450056
• Ascension Seton Williamson Hospital, Round Rock, TX, CCN 670041

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: borna.tabibian.1@8363.direct.athenahealth.com

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.

• Seton Family of Doctors

  • Neurological Surgery Physician
  • Austin, TX
  • NPI 1588997233
  Medicare reassignment Care Compare group NPD
• Seton Family of Doctors

  • Radiology Clinic/Center
  • Austin, TX
  • NPI 1275290694
  NPD
• Seton Family of Doctors

  • Neurological Surgery Physician
  • Kyle, TX
  • NPI 1730412388
  NPD
• University of Alabama Health Services Foundation, PC.

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
  • NPI 1093768723
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ascension Seton

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1093810327
  Care Compare affiliation
• Ascension Seton

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1164526786
  Care Compare affiliation
• Ascension Seton

  • General Acute Care Hospital
  • Round Rock, TX
  • NPI 1578780870
  Care Compare affiliation

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1295199685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SETON PKWY STE 402",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786658003",
            "telephone_number": "512-810-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SETON PKWY STE 402",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786658003",
            "telephone_number": "512-810-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABIBIAN",
        "first_name": "BORNA",
        "middle_name": "ETHAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-11",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "U4646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Synergy Plastic Surgery, PLLC
• Stephanie Ann Abello Sypniewski, M.D.
• Olga V Szalasny, MD
• Joseph M Szczytowski, DO
• Deborah June Taber, MA, LPC
• Jorge Luis Taboada, M.D.
• Gayle Tabotabo
• Bethany Tackett, MOT, OTR/L
• Amal Tahir, RBT
• Taj Healthcare, LLC

• Neurological Surgery Physician in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Neurological Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.