Individual provider Active NPI

Jamie Tabamo Rabot, M.D.

  • Developmental - Behavioral Pediatrics Physician
  • Eugene, OR
National Provider Identifier
1851527329
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
MD176690 Issued in OR
Practice address
901 E 18TH Ave
Eugene, OR 97403-1354
Phone
(541) 346-3575
Fax
(541) 346-5844
NPI assigned
Jun 10, 2009
Last updated
Oct 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD176690 OR
Pediatrics Physician 208000000X 003894 NY
Developmental - Behavioral Pediatrics Physician 2080P0006X MD176690 OR Primary

Addresses

Primary practice location

901 E 18TH Ave
Eugene, OR 97403-1354

Mailing address

901 E 18TH Ave
Eugene, OR 97403-1354
Phone (541) 346-3575

Other practice location 1

139 Centre St
Suite 314
New York, NY 10013-4552
Phone (212) 274-1811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160707002287 OR Practitioner - Pediatric Medicine 2163714320 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Professional Services CurrentSince Oct 1, 2023 Accepting new patients
University Professional Services Pediatrics CurrentSince Oct 1, 2023 Accepting new patients
University Professional Services Current Accepting new patients
Chinatown Global Pediatrics P.C. Pediatrics Past Accepting new patients

Locations

1501 NE Medical Center Dr
Bend, OR 97701
Phone (541) 317-4354

901 E 18th Ave
Eugene, OR 97403
Phone (541) 346-3575

2825 E Barnett Rd
Medford, OR 97504
Phone (541) 282-6770

691 Murphy Rd
Ste 200
Medford, OR 97504
Phone (541) 608-4900

Interoperability endpoints

  • Direct secure messaging: jrabot123284@direct.ohsu.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1851527329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E 18TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974031354",
            "telephone_number": "541-346-3575",
            "fax_number": "541-346-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E 18TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974031354",
            "telephone_number": "541-346-3575",
            "fax_number": "541-346-5844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "139 Centre St",
            "address_2": "Suite 314",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100134552",
            "country_code": "US",
            "telephone_number": "212-274-1811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RABOT",
        "first_name": "JAMIE",
        "middle_name": "TABAMO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD176690",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "003894",
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "OR",
            "license": "MD176690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.