NADEEM IMADEDDINE TABBARA
NPI 1063972123
Internal Medicine - Hematology & Oncology in San Diego, CA

Q: What is Nadeem Tabbara's NPI number?

The NPI number for Nadeem Tabbara is 1063972123. It was assigned to this individual provider in the NPPES registry on March 23, 2019.

Q: What is Nadeem Tabbara's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Nadeem Tabbara was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since March 23, 2019PECOS EnrolledAccepts Medicare Assignment

200 W ARBOR DR, SAN DIEGO, CA 92103(800) 926-8273(888) 539-8781 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 17, 2025, Aug 12, 2025, Jun 29, 2025 and 2 more (5 updates tracked since 2019).

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About Nadeem Imadeddine Tabbara NPPES

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

NADEEM IMADEDDINE TABBARA (NPI 1063972123) is an individual hematology & oncology provider in San Diego, California, licensed in California (A202166) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of George Washington University School Of Medicine (2019).

NPPES Registry Identity

NPI1063972123

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameNADEEM IMADEDDINE TABBARA

Location Address200 W ARBOR DRSan Diego, CA 92103-9000

Mailing AddressFile 57326Los Angeles, CA 90074-0001

Phone(800) 926-8273

Fax(888) 539-8781

Sole ProprietorNo

Medical School CMSGeorge Washington University School Of MedicineGraduated 2019

Enumeration DateMarch 23, 2019

Last NPPES UpdateNovember 17, 20255 updates tracked since enumeration

NPPES CertifiedNovember 17, 2025

✔ NPI 1063972123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in CA · A202166

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

200 W ARBOR DR, San Diego, CA 92103

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Secondary Practice Locations 4

Location 11800 Orleans StBaltimore, MD 21287-0010 · Phone (410) 955-5000

Location 29500 Gilman DrLA Jolla, CA 92093-8358 · Phone (800) 926-8273 · Fax (888) 539-8781

Location 33855 Health Sciences DrLA Jolla, CA 92093-8358 · Phone (800) 926-8273 · Fax (888) 539-8781

Location 4757 Westwood Plz Ste 7501Los Angeles, CA 90095-8358 · Phone (310) 267-7849

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nadeem Imadeddine Tabbara is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931544947

PECOS Enrollment IDI20250610001384

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$184.71 typical visit price

range $62.10 – $184.71

Typical copayment $46.17 (range $15.52 – $46.17)

Most-billed visit code 99205

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

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