IMAD SAMMAN TAHHAN
NPI 1013711951
Student in an Organized Health Care Education/Training Program in Wellington, FL

Active since April 01, 2025PECOS Enrolled
10101 FOREST HILL BLVD, WELLINGTON, FL 33414(561) 472-2583 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Imad Samman Tahhan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMAD SAMMAN TAHHAN (NPI 1013711951) is an individual student in an organized health care education/training program in Wellington, Florida and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013711951
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameIMAD SAMMAN TAHHAN
Location Address10101 FOREST HILL BLVDWellington, FL 33414-6103
Mailing Address545 Rutledge AveCharleston, SC 29403-4694 · (469) 315-5849
Sole ProprietorYes
Enumeration DateApril 1, 2025
NPPES CertifiedMarch 27, 2025
NPI 1013711951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
10101 FOREST HILL BLVD, Wellington, FL 33414

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Imad Samman Tahhan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
10101 FOREST HILL BLVD
WELLINGTON, FL 33414
Internal Medicine
10101 FOREST HILL BLVD
WELLINGTON, FL 33414
Student in an Organized Health Care Education/Training Program
10101 FOREST HILL BLVD
WELLINGTON, FL 33414
Internal Medicine
10101 FOREST HILL BLVD
WELLINGTON, FL 33414
Nurse Anesthetist, Certified Registered
10101 FOREST HILL BLVD
WELLINGTON, FL 33414
Student in an Organized Health Care Education/Training Program
10101 FOREST HILL BLVD
WELLINGTON, FL 33414
Nurse Anesthetist, Certified Registered
10101 FOREST HILL BLVD
WELLINGTON, FL 33414
Nurse Anesthetist, Certified Registered
10101 FOREST HILL BLVD
WELLINGTON, FL 33414

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Imad Samman Tahhan's NPI number?

The NPI number for Imad Samman Tahhan is 1013711951. It was assigned to this individual provider in the NPPES registry on April 1, 2025.

Where is Imad Samman Tahhan located?

Imad Samman Tahhan practices at 10101 Forest Hill Blvd, Wellington, FL 33414. The listed phone number is (561) 472-2583.

What is Imad Samman Tahhan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Imad Samman Tahhan enrolled in Medicare?

Yes. Imad Samman Tahhan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Imad Samman Tahhan was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.