Individual provider Active NPI

Kamran Tabaddor, MD

  • Neurological Surgery Physician
  • White Plains, NY
National Provider Identifier
1942216510
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
116495 Issued in NY
Practice address
244 Westchester Ave
Suite 310
White Plains, NY 10604-2907
Phone
(914) 948-6688
Fax
(914) 686-5478
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 116495 NY Primary

Addresses

Primary practice location

244 Westchester Ave
Suite 310
White Plains, NY 10604-2907

Mailing address

244 Westchester Ave
Suite 310
White Plains, NY 10604-2907
Phone (914) 948-6688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20090714000013 NY Practitioner - Neurosurgery 4082637749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4256 Bronx Blvd
Bronx, NY 10466-2672
Phone (718) 655-9111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
116495NYMDNeurological Surgery Physician

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312329600000",
    "number": "1942216510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 WESTCHESTER AVE",
            "address_2": "SUITE 310",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106042907",
            "telephone_number": "914-948-6688",
            "fax_number": "914-686-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 WESTCHESTER AVE",
            "address_2": "SUITE 310",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106042907",
            "telephone_number": "914-948-6688",
            "fax_number": "914-686-5478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABADDOR",
        "first_name": "KAMRAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2011-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "116495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.