NPIMap

Individual provider Active NPI

Michelle Pamplona Tabao, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Elgin, IL
National Provider Identifier
1659347813
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
036-119818 Issued in IL
Practice address
1975 Lin Lor LN
Suite 195
Elgin, IL 60123-4902
Phone
(847) 468-1511
Fax
(847) 468-1555
NPI assigned
Feb 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 35.084953 OH
Physical Medicine & Rehabilitation Physician 208100000X 036-119818 IL Primary

Addresses

Primary practice location

1975 Lin Lor LN
Suite 195
Elgin, IL 60123-4902

Mailing address

1975 Lin Lor LN
Suite 195
Elgin, IL 60123-4902
Phone (847) 468-1511

Other names 1

  • Dr. Michelle Pamplona Tabao-Lee Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080226000874 IL Practitioner - Physical Medicine and Rehabilitation 1052374352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yarkony Rehabilitation Associates LTDGroup PAC ID 0749318046, 4 clinicians

Practice addresses (Care Compare)

1975 Lin Lor LN
Suite 195
Elgin, IL 60123-4920
Phone (847) 468-1511

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-119818ILMDPhysical Medicine & Rehabilitation Physician
35.084953OHMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yarkony Rehabilitation Associates LTD Physical Medicine & Rehabilitation CurrentSince Apr 1, 2010 Accepting new patients
Cincinnati Centers for Pain Relief Inc Past Accepting new patients
Lakota Medical, LLC Past Accepting new patients
University Rehabilitation, Inc. Physical Medicine & Rehabilitation Past Accepting new patients

Locations

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

1975 Lin Lor Ln
Ste 195
Elgin, IL 60123
Phone (847) 468-1511

Interoperability endpoints

  • Direct secure messaging: mtabao288481@direct.myadvocateaurora.org

Organizations & group practices 4

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1659347813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 LIN LOR LN",
            "address_2": "SUITE 195",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234902",
            "telephone_number": "847-468-1511",
            "fax_number": "847-468-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 LIN LOR LN",
            "address_2": "SUITE 195",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234902",
            "telephone_number": "847-468-1511",
            "fax_number": "847-468-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABAO",
        "first_name": "MICHELLE",
        "middle_name": "PAMPLONA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "35.084953",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036-119818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "TABAO-LEE",
            "middle_name": "PAMPLONA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.