Individual provider Active NPI

Deborah M Tabulov, N.P.

  • Nurse Practitioner
  • Lewes, DE
National Provider Identifier
1497786131
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R137151 Issued in MD
Practice address
33664 Bayview Medical Dr Unit 2
Lewes, DE 19958-1687
Phone
(302) 644-4954
Fax
(302) 645-5481
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R137151 MD Primary

Addresses

Primary practice location

33664 Bayview Medical Dr Unit 2
Lewes, DE 19958-1687

Mailing address

1515 Savannah Rd
Lewes, DE 19958-1675
Phone (302) 313-2298

Other practice location 1

875 Oak St SE Ste 3060
Salem, OR 97301-3908
Phone (503) 585-5585

Other identifiers 1

IdentifierTypeStateIssuer
062503500MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101119000272 MD Practitioner - Nurse Practitioner 2466648217 Reassigns benefits to 3 organizations
I20200928001980 DE Practitioner - Nurse Practitioner 2466648217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healogics Specialty Physicians of Maryland LLCGroup PAC ID 2365769833, 6 clinicians
Tidalhealth Specialty Care LLCGroup PAC ID 7113340845, 375 clinicians
Tidalhealth Atlantic IncGroup PAC ID 2365437837, 95 clinicians
Healogics Specialty Physicians of Delaware, LLCGroup PAC ID 9436578390, 4 clinicians

Practice addresses (Care Compare)

100 E Carroll St
Salisbury, MD 21801-5422
Phone (410) 677-6605

10231 Old Ocean City Blvd
Suite 104
Berlin, MD 21811-3567
Phone (410) 629-6863

801 Middleford Rd
Seaford, DE 19973-3636
Phone (302) 628-8322

9733 Healthway Dr
Berlin, MD 21811-1155
Phone (410) 912-4976

Hospital & facility affiliations

  • Atlantic General Hospital Hospital, Berlin, MD, CCN 210061
  • Tidalhealth Nanticoke, Inc. Hospital, Seaford, DE, CCN 080006
  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019
  • Beebe Medical Center Hospital, Lewes, DE, CCN 080007

Merit-based Incentive Payment System (MIPS)

Final score
82.2 of 100Reported as group
Quality
70.92
Promoting interoperability
98
Improvement activities
40
Cost
71.41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R137151MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healogics Specialty Physicians of Maryland, LLC CurrentSince Dec 21, 2020 Accepting new patients
Atlantic General Hospital Corporation Nurse Practitioner CurrentSince Mar 1, 2024 Accepting new patients
Tidalhealth Specialty Care, LLC CurrentSince Mar 1, 2026 Accepting new patients
Healogics Specialty Physicians of Delaware, LLC CurrentSince Sep 1, 2020 Accepting new patients
Tidalhealth Atlantic, Inc. CurrentSince Mar 1, 2024 Accepting new patients
Salem Health PastSince Apr 7, 2015 Accepting new patients

Locations

801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

10231 Old Ocean City Blvd
Ste 104
Berlin, MD 21811
Phone (410) 629-6863

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

6040 Public Landing Rd
Snow Hill, MD 21863
Phone (410) 629-0041

Organizations & group practices 6

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 4

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1497786131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 SAVANNAH RD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581675",
            "telephone_number": "302-313-2298",
            "fax_number": "302-645-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33664 BAYVIEW MEDICAL DR UNIT 2",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581687",
            "telephone_number": "302-644-4954",
            "fax_number": "302-645-5481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "875 Oak St SE Ste 3060",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973013908",
            "country_code": "US",
            "telephone_number": "503-585-5585",
            "fax_number": "503-584-7971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TABULOV",
        "first_name": "DEBORAH",
        "middle_name": "M",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R137151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062503500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

Verify at the official NPI Registry.