Active NPI
Taylor Tabatabai, MD
- Dermatology Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 35.144951
- Practice address
- 379 Dixmyth Ave
Cincinnati, OH 45220-2475 - Phone
- (513) 246-7546
- NPI assigned
- Jun 11, 2018
- Last updated
- Jul 15, 2022
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | R-11450 | IA | |
| Dermatology Physician | 207N00000X | 125071930 | IL | |
| Dermatology Physician | 207N00000X | 35.144951 | OH | Primary |
| Internal Medicine Physician | 207R00000X | 125071930 | IL |
Addresses
Primary practice location
379 Dixmyth Ave
Cincinnati, OH 45220-2475
Mailing address
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-7546
Other practice location 1
701 N 1st St
Springfield, IL 62702-3757
Phone (217) 545-8000
Other practice location 2
701 N 1st St
Springfield, IL 62702-3757
Phone (217) 545-8000
Other practice location 3
200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-7546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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
- Dermatology
- Education
- Southern Illinois University School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
375 Dixmyth Ave
Suite 3135
Cincinnati, OH 45220-2475
Phone (513) 862-3452
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 803 |
| Removal or shaving of skin growth | 74 |
| Skin biopsy | 257 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-11450 | IA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Board of Trustees of Southern Illinois University | Current | Accepting new patients | |
| Trihealth H LLC | Dermatology | Current | Accepting new patients |
| Trihealth Physician Institute | Past | Accepting new patients |
Locations
375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432
375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452
379 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-1400
4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721
Interoperability endpoints
- taylortabatabai@siusm.allscriptsdirect.net
- ttabatabai360403@direct.trihealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Carbondale Care A Van
- Rural Health Clinic/Center
- Carbondale, IL
- NPI 1215978127
-
dba GEROS Physician Extenders
- Nurse Practitioner
- Cincinnati, OH
- NPI 1922051697
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1396714663
-
dba Good Samaritan Surgery Center West
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1457964041
-
dba Good Samaritan Endoscopy Center North
- General Acute Care Hospital
- Montgomery, OH
- NPI 1477166064
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1508835828
-
dba Good Samaritan Hospital - Evendale
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1740893320
-
dba Good Samaritan Hand Surgery Center
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1851904445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657843200000",
"number": "1811480254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421009",
"telephone_number": "319-356-7546",
"fax_number": "319-356-8317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "379 DIXMYTH AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452202475",
"telephone_number": "513-246-7546"
}
],
"practiceLocations": [
{
"address_1": "701 N 1st St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "IL",
"postal_code": "627023757",
"country_code": "US",
"telephone_number": "217-545-8000",
"fax_number": "217-545-4735",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "701 N 1st St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "IL",
"postal_code": "627023757",
"country_code": "US",
"telephone_number": "217-545-8000",
"fax_number": "217-545-4735",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Hawkins Dr",
"address_purpose": "LOCATION",
"city": "Iowa City",
"state": "IA",
"postal_code": "52242",
"country_code": "US",
"telephone_number": "319-356-7546",
"fax_number": "319-356-8317",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TABATABAI",
"first_name": "TAYLOR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-11",
"last_updated": "2022-07-15",
"certification_date": "2022-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IA",
"license": "R-11450",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IL",
"license": "125071930",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "OH",
"license": "35.144951",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125071930",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.