Hennie Tambot Abrio, MD
Individual provider Active NPI Internal Medicine Physician · Roseburg, OR
NPI 1891925129 · NPPES record last updated Feb 18, 2015
Key facts
- NPI
- 1891925129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD125820 (OR)
- Practice address
- 3369 NE Stephens St
Ste 100
Roseburg, OR 97470-1200 - Phone
- (541) 677-8900
- Fax
- (641) 677-8903
- NPI assigned
- Jul 21, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 5
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Galen Inpatient Physicians PC
Practice addresses (Care Compare)
2700 NW Stewart Pkwy
Roseburg, OR 97471-1281
Phone (541) 673-0611
Hospital & facility affiliations
- Amedisys Home Health Care
- Mercy Medical Center Hospice
- Mercy Medical Center
- Sacred Heart Medical Center - Riverbend
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.4 of 100
- Quality
- 65.6
- Improvement activities
- 40
- Cost
- 71.06
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Mercy Medical Center Hospice |
Hospice | W-2 Managing Employee | Mar 1, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090901000208 | OR | Practitioner - Internal Medicine | 6305991159 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD125820 | OR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galen Inpatient Physicians PC | Hospitalist | Current |
Accepting new patients |
| Galen Inpatient Physicians PC | Internal Medicine | Current |
Accepting new patients |
| Commonspirit Oregon | Past | Accepting new patients | |
| Centennial Medical Group Inc. | Hospitalist | Past | Accepting new patients |
Locations
2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD125820 | OR | Yes |
| Hospitalist Physician | 208M00000X | MD125820 | OR |
Addresses
Primary practice location
3369 NE Stephens St
Ste 100
Roseburg, OR 97470-1200
Mailing address
3369 NE Stephens St
Ste 100
Roseburg, OR 97470-1200
Phone (541) 677-8900
Other names
- Hennie Giabros Tambot
Other providers in Roseburg, OR
- A.K. Gombart M.D.P.C
- Leslie C Abbott
- Mohamed Abdel Khalek
- Brooke Abek I
- Shaun Gordon Abernathie
- Access Dental Hygiene Services, LLC
- Ruben Acevedo III
- Achieve Physical Therapy LLC
- Claudia Acosta
- Hashim Tadese Adam
All providers in Roseburg, OR · Internal Medicine Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.