Individual provider Active NPI

Mahmood Tabatabai, M.D.

  • Anesthesiology Physician
  • Philadelphia, PA
National Provider Identifier
1598868879
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD-028729-E Issued in PA
Practice address
3900 Woodland Avenue
Philadelphia, PA 19104
Phone
(215) 823-5800
Fax
(215) 823-4171
NPI assigned
Sep 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD-028729-E PA Primary

Addresses

Primary practice location

3900 Woodland Avenue
Philadelphia, PA 19104

Mailing address

1801 Buttonwood St
Apt # 604
Philadelphia, PA 19130-3945
Phone (215) 981-0182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-028729-EPAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Anesthesia Associates, P. C. Past Accepting new patients
Anesthesia Associates of Easton, P C Past Accepting new patients
The Behavioral Wellness Center at Girard Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288656000000",
    "number": "1598868879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 BUTTONWOOD ST",
            "address_2": "APT # 604",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303945",
            "telephone_number": "215-981-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 WOODLAND AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "215-823-5800",
            "fax_number": "215-823-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABATABAI",
        "first_name": "MAHMOOD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2010-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD-028729-E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.