NPIMap

Individual provider Active NPI

Hennie Tambot Abrio, MD

  • Internal Medicine Physician
  • Roseburg, OR
National Provider Identifier
1891925129
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD125820 Issued in 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
Last updated
Feb 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD125820 OR Primary
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 1

  • Hennie Giabros Tambot Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20090901000208 OR Practitioner - Internal Medicine 6305991159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians

Practice addresses (Care Compare)

2700 NW Stewart Pkwy
Roseburg, OR 97471-1281
Phone (541) 673-0611

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.4 of 100Reported as group
Quality
65.6
Improvement activities
40
Cost
71.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD125820ORMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Inpatient Physicians PC Internal Medicine CurrentSince May 15, 2014 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince May 15, 2014 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) 900-3125

2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mercy Medical Center HospiceRoseburg, OR, CCN 381521 Hospice W-2 Managing Employee Mar 1, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 5

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": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1891925129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3369 NE STEPHENS ST",
            "address_2": "STE 100",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974701200",
            "telephone_number": "541-677-8900",
            "fax_number": "641-677-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3369 NE STEPHENS ST",
            "address_2": "STE 100",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974701200",
            "telephone_number": "541-677-8900",
            "fax_number": "641-677-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRIO",
        "first_name": "HENNIE",
        "middle_name": "TAMBOT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD125820",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OR",
            "license": "MD125820",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HENNIE",
            "last_name": "TAMBOT",
            "middle_name": "GIABROS",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Roseburg, OR

Sources for this page

Verify at the official NPI Registry.