Active NPI
Deborah M Tabulov, N.P.
- Nurse Practitioner
- Lewes, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R137151
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 062503500 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
- Tidalhealth Nanticoke, Inc.
- Tidalhealth Peninsula Regional, Inc
- Beebe Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.2 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| R137151 | MD | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healogics Specialty Physicians of Maryland, LLC | Current | Accepting new patients | |
| Atlantic General Hospital Corporation | Nurse Practitioner | Current | Accepting new patients |
| Tidalhealth Specialty Care, LLC | Current | Accepting new patients | |
| Healogics Specialty Physicians of Delaware, LLC | Current | Accepting new patients | |
| Tidalhealth Atlantic, Inc. | Current | Accepting new patients | |
| Salem Health | Past | 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.
-
- Preventive Medicine/Occupational Environmental Medicine Physician
- Seaford, DE
- NPI 1821614785
-
- Family Medicine Physician
- Berlin, MD
- NPI 1871582171
Nurse Practitioner
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Leonardtown, MD
- NPI 1700288602
-
- Medical Specialty Clinic/Center
- Salisbury, MD
- NPI 1619504735
-
- Community/Retail Pharmacy
- Berlin, MD
- NPI 1740963859
-
- Durable Medical Equipment & Medical Supplies
- Keizer, OR
- NPI 1487434775
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lewes, DE
- NPI 1821196486
-
- General Acute Care Hospital
- Seaford, DE
- NPI 1245214477
-
- General Acute Care Hospital
- Berlin, MD
- NPI 1053309120
-
- General Acute Care Hospital
- Salisbury, MD
- NPI 1780689463
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; 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.