Shahram Tabib, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

A69677 Issued in CA

Practice address

1420 S Central Ave
Glendale, CA 91204-2508

Phone

(818) 502-1900

NPI assigned

Jun 14, 2006

Last updated

Feb 4, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, AZ, TX, NE, WI, KY, TN7 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 7

Specialty

Emergency Medicine

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aspirus Rhinelander and Tomahawk Hospitals and Clinics, Inc.Group PAC ID 9335059856, 566 clinicians

Emergency Medicine Services of Ky LLCGroup PAC ID 9335505569, 42 clinicians

Alegent Creighton ClinicGroup PAC ID 1951210418, 951 clinicians

DHHS PHS Naihs Crownpoint HospitalGroup PAC ID 0143128041, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Crownpoint Healthcare Facility Hospital, Crownpoint, NM, CCN 320062
• Coastal Communities Hospital Hospital, Santa Ana, CA, CCN 050747
• CHI Health Bergan Mercy Hospital, Omaha, NE, CCN 280060
• Aspirus Rhinelander Hospital Hospital, Rhinelander, WI, CCN 520019
• Regional One Health Hospital, Memphis, TN, CCN 440152

Merit-based Incentive Payment System (MIPS)

Final score

96.69 of 100Reported as group

Quality

90

Improvement activities

40

Cost

78.43

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 42)

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alegent Creighton Clinic

  dba CHI Health Clinic

  • Family Medicine Physician
  • Omaha, NE
  • NPI 1548287907
  Medicare reassignment Care Compare group NPD
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  dba Aspirus Stevens Point Clinic - Illinois Avenue

  • Clinic/Center
  • Stevens Point, WI
  • NPI 1144991340
  Medicare reassignment Care Compare group NPD
• DHHS PHS Naihs Crownpoint Hospital

  • General Acute Care Hospital
  • Crownpoint, NM
  • NPI 1114960093

  TX

  Medicare reassignment Care Compare group NPD
• Emergency Medicine Services of Ky, LLC

  • Emergency Medicine Physician
  • Bowling Green, KY
  • NPI 1033816194
  Medicare reassignment Care Compare group NPD
• Can Emergency Physicians Medical Group, Inc.

  • Emergency Medicine Physician
  • Panorama City, CA
  • NPI 1265810006
  Medicare reassignment NPD
• Cep America - California

  dba Vituity

  • Emergency Medicine Physician
  • San Francisco, CA
  • NPI 1023063542
  Medicare reassignment NPD
• DHHS IHS Phoenix Area

  dba Chemehuevi Health Clinic

  • Federal Public Health Clinic/Center
  • Havasu Lake, CA
  • NPI 1396022026

  TX

  Medicare reassignment NPD
• East Valley Emergency Medical Associates, Inc

  • Emergency Medicine Physician
  • Whittier, CA
  • NPI 1346287430
  Medicare reassignment NPD
• Glendale Emergency Medical Associates, Inc

  • Emergency Medicine Physician
  • Glendale, CA
  • NPI 1588606834
  Medicare reassignment NPD
• Golden West Emergency Medical Associates, Inc

  • Emergency Medicine Physician
  • Monterey Park, CA
  • NPI 1053680298
  Medicare reassignment NPD
• Grand Avenue Emergency Physicians Medical Group Inc

  • Emergency Medicine Physician
  • Bakersfield, CA
  • NPI 1962913632
  Medicare reassignment NPD
• Hollywood Presbyterian Emergency Medical Associates, Inc.

  • Emergency Medicine Physician
  • Los Angeles, CA
  • NPI 1972826931
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• South Coast Global Medical Center, Inc

  dba South Coast Global Medical Center

  • General Acute Care Hospital
  • Santa Ana, CA
  • NPI 1558354258
  Care Compare affiliation
• Alegent Health Bergan Mercy Health System

  dba Lasting Hope Recovery Center

  • Psychiatric Hospital Unit
  • Omaha, NE
  • NPI 1396969499
  Care Compare affiliation
• Alegent Health Bergan Mercy Health System

  dba CHI Health Creighton University Medical Center-Bergan Mercy

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1508941097
  Care Compare affiliation
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc

  dba Aspirus Rhinelander Clinic - North Shore Dr

  • Rural Health Clinic/Center
  • Rhinelander, WI
  • NPI 1598420218

  Hospital

  Care Compare affiliation
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  dba Aspirus Plover Clinic - Plover Road

  • Clinic/Center
  • Plover, WI
  • NPI 1053080168

  Hospital

  Care Compare affiliation
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  dba Aspirus Wittenberg Clinic

  • Clinic/Center
  • Wittenberg, WI
  • NPI 1114696507

  Hospital

  Care Compare affiliation
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  dba Aspirus Stevens Point Clinic - Illinois Avenue

  • Clinic/Center
  • Stevens Point, WI
  • NPI 1144991340

  Hospital

  Care Compare affiliation
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  dba Aspirus Stevens Point Clinic - Hoover RD

  • Clinic/Center
  • Stevens Point, WI
  • NPI 1306515671

  Hospital

  Care Compare affiliation
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  dba Aspirus Amherst Clinic

  • Clinic/Center
  • Amherst, WI
  • NPI 1316616428

  Hospital

  Care Compare affiliation
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  dba Aspirus Rhinelander Clinic - N Chippewa Drive

  • Clinic/Center
  • Rhinelander, WI
  • NPI 1316616683

  Hospital

  Care Compare affiliation
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  dba Aspirus Plover Clinic - Vern Holmes Drive

  • Family Medicine Physician
  • Stevens Point, WI
  • NPI 1336818608

  Hospital

  Care Compare affiliation
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  • General Acute Care Hospital
  • Rhinelander, WI
  • NPI 1356391247
  Care Compare affiliation

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1609819887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8581 SANTA MONICA BLVD",
            "address_2": "421",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694120",
            "telephone_number": "310-597-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 S CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042508",
            "telephone_number": "818-502-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7500 Mercy Rd",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681242319",
            "country_code": "US",
            "telephone_number": "402-398-6060",
            "fax_number": "402-398-6982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TABIB",
        "first_name": "SHAHRAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NE",
            "license": "36593",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A69677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syndicated Diagnostic Imaging, Inc. (Specialty Imaging Center)
• Izabela Szymura
• Ta Transport Holdings, LLC
• Moshe Tabak, M.D.
• Sima Tabanfar, O.D.
• Anilga Tabibian, PH.D.
• James Hagop Tabibian, M.D.
• Michelle Tablada-Quintanilla, M.D.
• Marie Louise B Tabora, D.D.S.
• Ruby Tabuchi

• Emergency Medicine Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.

Verify at the official NPI Registry.