Active NPI
Abdul Kader Tabbara, M.D.
- Anesthesiology Physician
- Jackson, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 4301502265
- Practice address
- 205 N East Ave
Jackson, MI 49201-1753 - Phone
- (517) 205-7836
- NPI assigned
- Jun 6, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 4301502265 | MI | Primary |
| Neurological Surgery Physician | 207T00000X | 252394 | MA |
Addresses
Primary practice location
205 N East Ave
Jackson, MI 49201-1753
Mailing address
4000 Wellness Dr
Midland, MI 48670-1000
Phone (844) 832-1956
Other practice location 1
4000 Wellness Dr
Midland, MI 48670-1000
Phone (989) 839-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
205 N E Ave
Henry Ford Allegiance Health
Jackson, MI 49201-1753
Phone (517) 205-4800
2799 W Grand Boulevard
Detroit, MI 48202-2608
Phone (313) 916-2000
4000 Wellness Dr
Midland, MI 48670-2000
Phone (989) 839-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 252394 | MA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| W.a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Northland Anesthesia Associates, PC | Anesthesiology | Current | Accepting new patients |
| Henry Ford Pathology | Current | Accepting new patients | |
| Wa Foote Memorial Hospital Inc | Current | Accepting new patients | |
| Henry Ford Health System | Anesthesiology | Current | Accepting new patients |
| W. a. Foote Memorial Hospital, Inc | Current | Accepting new patients |
Locations
30400 Telegraph Rd
Ste 405
Bingham Farms, MI 48025
Phone (248) 483-8138
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
47601 Grand River Ave
Novi, MI 48374
Phone (248) 465-4100
Interoperability endpoints
- https://fhir.hfhs.org/FHIRProxy/api/FHIR/R4/
- atabbara659494@direct.hfhs.org
Organizations & group practices 9
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.
-
- Anesthesiology Physician
- Detroit, MI
- NPI 1003989690
-
dba Allegiance Health
- Internal Medicine Physician
- Jackson, MI
- NPI 1760437826
-
- Anesthesiology Physician
- Midland, MI
- NPI 1649010455
-
- Anesthesiology Physician
- Southfield, MI
- NPI 1528001880
-
- Podiatrist
- Detroit, MI
- NPI 1396824207
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
-
- Anatomic Pathology & Clinical Pathology Physician
- Detroit, MI
- NPI 1851410005
-
dba Henry Ford Allegiance Health
- Physician Assistant
- Jackson, MI
- NPI 1538606348
-
dba Henry Ford Allegiance Health
- Pain Medicine (Anesthesiology) Physician
- Jackson, MI
- NPI 1841774262
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
dba Henry Ford Allegiance Health
- General Acute Care Hospital
- Jackson, MI
- NPI 1053403402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781740800000",
"number": "1528329547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 WELLNESS DR",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486701000",
"telephone_number": "844-832-1956",
"fax_number": "989-633-5241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 N EAST AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492011753",
"telephone_number": "517-205-7836"
}
],
"practiceLocations": [
{
"address_1": "4000 Wellness Dr",
"address_purpose": "LOCATION",
"city": "Midland",
"state": "MI",
"postal_code": "486701000",
"country_code": "US",
"telephone_number": "989-839-3000",
"fax_number": "989-839-3168",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TABBARA",
"first_name": "ABDUL KADER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-06",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "4301502265",
"primary": true
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MA",
"license": "252394",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.