Individual provider Active NPI

Taha Jabbar, MD

  • Hospitalist Physician
  • Chicago, IL
National Provider Identifier
1407341571
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A174852 Issued in CA
Practice address
2525 S Michigan Ave
Chicago, IL 60616-2332
Phone
(312) 567-2000
NPI assigned
Jun 29, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036.156384 IL
Internal Medicine Physician 207R00000X A174852 CA
Hospitalist Physician 208M00000X A174852 CA Primary

Addresses

Primary practice location

2525 S Michigan Ave
Chicago, IL 60616-2332

Mailing address

2525 S Michigan Ave
Chicago, IL 60616-2332
Phone (312) 567-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211021002783 CA Practitioner - HospitalistPractitioner - Internal Medicine 1759787369 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of San MateoGroup PAC ID 9032023171, shared by 15 NPIs, 316 clinicians
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians

Practice addresses (Care Compare)

222 W 39TH Ave
San Mateo, CA 94403-4364
Phone (650) 573-2222

250 Bon Air Rd
Greenbrae, CA 94904-1702
Phone (415) 925-7000

Hospital & facility affiliations

  • Marinhealth Medical Center Hospital, Greenbrae, CA, CCN 050360
  • San Mateo Medical Center Hospital, San Mateo, CA, CCN 050113

Merit-based Incentive Payment System (MIPS)

Final score
82.4 of 100Reported as group
Quality
65.6
Improvement activities
40
Cost
71.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A174852CAMDInternal Medicine Physician
036.156384ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Emergency Physicians Medical Group a Professional Corp CurrentSince Feb 1, 2022 Accepting new patients
County of Santa Clara CurrentSince Oct 15, 2021 Accepting new patients
County of San Mateo CurrentSince Jan 4, 2022 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince May 1, 2022 Accepting new patients
County of Santa Clara Internal Medicine Current Accepting new patients
California Emergency Physicians Medical Group, a Professional Corp Current Accepting new patients
County of Santa Clara CurrentSince Oct 15, 2021 Accepting new patients
County of San Mateo CurrentSince Jan 4, 2022 Accepting new patients
California Emergency Physicians Medical Group, a Professional Corp. Internal Medicine CurrentSince Feb 1, 2022 Accepting new patients
County of Santa Clara CurrentSince Oct 15, 2021 Accepting new patients
County of San Mateo CurrentSince Jan 4, 2022 Accepting new patients
County of Santa Clara CurrentSince Oct 15, 2021 Accepting new patients
County of Santa Clara Current Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince May 1, 2022 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

250 Bon Air Rd
Kentfield, CA 94904
Phone (415) 464-1350

33 Mateo Ave
Millbrae, CA 94030
Phone (650) 583-8937

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

Interoperability endpoints

  • Direct secure messaging: tjabbar179221@santaclaravalley.direct-ci.net
  • Direct secure messaging: tjabbar19736@smch.direct-ci.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 9

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": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1407341571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162332",
            "telephone_number": "312-567-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162332",
            "telephone_number": "312-567-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABBAR",
        "first_name": "TAHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-29",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.156384",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A174852",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A174852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.