DR. IHSAN I JABBOUR M.D.
NPI 1407899610
General Practice in Waterbury, CT

Q: What is Ihsan Jabbour's NPI number?

The NPI number for Ihsan Jabbour is 1407899610. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Q: What is Ihsan Jabbour's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Ihsan Jabbour was last updated on January 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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 June 14, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 07D0931044 · Waiver

9.44/100

CMS Quality Rating

171 GRANDVIEW AVE, SUITE # 105, WATERBURY, CT 06708(203) 755-2214(203) 596-1133 Get Directions Write a Review

NPPES record last updated: January 19, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Ihsan I Jabbour M.d. NPPES

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

DR. IHSAN I JABBOUR M.D. (NPI 1407899610) is an individual general practice provider in Waterbury, Connecticut, licensed in Connecticut (026820) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through July 21, 2027, and is a graduate of Other (1976).

NPPES Registry Identity

NPI1407899610

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. IHSAN I JABBOURCredential: M.D.

Location Address171 GRANDVIEW AVE, SUITE # 105Waterbury, CT 06708-2517

Mailing Address171 Grandview Ave, Suite # 105Waterbury, CT 06708-2517 · (203) 755-2214 · Fax (203) 596-1133

Phone(203) 755-2214

Fax(203) 596-1133

Sole ProprietorYes

Medical School CMSOtherGraduated 1976

Enumeration DateJune 14, 2006

Last NPPES UpdateJanuary 19, 2017

✔ NPI 1407899610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in CT · 026820

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedEmergency Medicine · Undersea and Hyperbaric MedicineTaxonomy 207PE0005X · License 026820 (CT)

Also ListedFamily MedicineTaxonomy 207Q00000X · License 026820 (CT)

Also ListedSurgeryTaxonomy 208600000X · License 026820 (CT)

171 GRANDVIEW AVE, Waterbury, CT 06708

Open in Google Maps ↗

Other Identifiers 13

Other0004112221CT · Aetna

OtherP2041646CT · Oxford

Other061212173 0005TN · Cigna

Other712173CT · Connecticare

Medicare ID-Type Unspecified020000553CT

Medicaid001268200CT

Other010026820CT03CT · Bc/bs

Medicare UPINB83692CT

Other026820CT NO2CT · Connecticare

Other061212173CT · Aebh

Other135799FL · Wellcare

Other061212173UT · United Health Care

Other0R0697CT · Phs

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

Dr. Ihsan I Jabbour M.d. 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 ID4385787639

PECOS Enrollment IDI20100209000009

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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D0931044

Ihsan I Jabbour MD · Waterbury, CT

Active · expires Jul 21, 2027

CLIA Number07D0931044

Laboratory TypePhysician Office

Certificate Effective DateJuly 22, 2025

Certificate Expiration DateJuly 21, 2027

Laboratory DirectorIhsan I. Jabbour MD

Laboratory Phone(203) 755-2214

Laboratory LocationIhsan I Jabbour MD171 Grandview Avenue Suite #105, Waterbury, CT 06708

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

236 services51 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

139 services86 patients

Removal of skin and tissue, each additional 20.0 sq cm or less 11045

This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.

91 services20 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

90 services60 patients

Management of oxygen chamber therapy 99183

Oxygen chamber therapy involves breathing pure oxygen in a pressurized room or tube. It's used to treat various conditions like wounds that won't heal due to diabetes or radiation injury. In this therapy, your body's tissues get more oxygen to promote healing and fight infection.

72 services11 patients

Removal of muscle and/or tissue, 20.0 sq cm or less 11043

This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.

65 services32 patients

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

61 services28 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

40 services18 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

33 services24 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

29 services29 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

17 services17 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

15 services15 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

9.44/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

31.47

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers22 claims35 services$6.33 avg. paid by Medicare

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394

DME-Orthotic Devices · category DF010N

2 suppliers11 claims88 services$2.49 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407

DME-Orthotic Devices · category DF010N

2 suppliers11 claims220 services$7.67 avg. paid by Medicare

Tape, non-waterproof, per 18 square inches A4450

DME-Medical/Surgical Supplies · category DA000N

4 suppliers30 claims1,328 services$0.09 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063

DME-Orthotic Devices · category DF010N

2 suppliers11 claims220 services$2.49 avg. paid by Medicare

Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories A6550

DME-Other DME · category DE000N

2 suppliers13 claims190 services$22.44 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

IONUT ANTON M.D. PC

Clinic/Center (Primary Care)

171 GRANDVIEW AVE, SUITE 204
WATERBURY, CT 06708

Naugatuck Valley Planning Region (203) 596-1906

CHERYL LYNN LYON N.D.

Naturopath

171 GRANDVIEW AVE, SUITE 202
WATERBURY, CT 06708

Naugatuck Valley Planning Region (203) 757-9336

DR. TULASI N VIKRAM DDS

Dentist (General Practice)

171 GRANDVIEW AVE, SUITE 103
WATERBURY, CT 06708

Naugatuck Valley Planning Region (203) 574-2725

DR. DECIO M. DE ESCOBAR

Otolaryngology (Otolaryngic Allergy)

171 GRANDVIEW AVE, SUITE 101
WATERBURY, CT 06708

Naugatuck Valley Planning Region (203) 757-9336

VICTOR M GOTAY MD

Otolaryngology

171 GRANDVIEW AVE, STE 203
WATERBURY, CT 06708

Naugatuck Valley Planning Region (203) 597-1002

KIMBERELY SUE CASAGNI A.P.R.N.-FNP

Nurse Practitioner (Family)

171 GRANDVIEW AVE, SUITE 201
WATERBURY, CT 06708

Naugatuck Valley Planning Region (203) 578-4630

DEANN MASTERSON PA-C

Physician Assistant (Medical)

171 GRANDVIEW AVE, SUITE 201
WATERBURY, CT 06708

Naugatuck Valley Planning Region (203) 578-4630

WATERBURY PODIATRY CONSULTANTS

Podiatrist

171 GRANDVIEW AVE, SUITE 104
WATERBURY, CT 06708

Naugatuck Valley Planning Region (203) 753-2048

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 Ihsan Jabbour's NPI number?

The NPI number for Ihsan Jabbour is 1407899610. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Ihsan Jabbour located?

Ihsan Jabbour practices at 171 Grandview Ave Suite # 105, Waterbury, CT 06708. The listed phone number is (203) 755-2214.

What is Ihsan Jabbour's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Ihsan Jabbour enrolled in Medicare?

Yes. Ihsan Jabbour is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Ihsan Jabbour hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D0931044) is associated with this NPI, valid through July 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ihsan Jabbour was last updated on January 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.

About Dr. Ihsan I Jabbour M.d. NPPES

NPPES Registry Identity

Specialties & Licenses 4

Other Identifiers 13

Medicare Participation & PECOS CMS

Medicare Enrollment Status

CLIA Laboratory Certificates CMS CLIA

Certificate of Waiver · 07D0931044

Areas of Expertise CMS Part B claims 12

Medicare Quality Performance CMS QPP · MIPS

Referred Medical Equipment & Supplies CMS DME claims 9

Other Providers at the Same Location NPPES 20

Frequently Asked Questions NPPES & CMS

What is Ihsan Jabbour's NPI number?

Where is Ihsan Jabbour located?

What is Ihsan Jabbour's specialty?

Is Ihsan Jabbour enrolled in Medicare?

Does Ihsan Jabbour hold a CLIA laboratory certificate?

When was this NPI record last updated?

Certificate of Waiver 07D0931044