DR. EHSAN TABARAEE M.D.
NPI 1528394202
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Modesto, CA

Q: What is Ehsan Tabaraee's NPI number?

The NPI number for Ehsan Tabaraee is 1528394202. It was assigned to this individual provider in the NPPES registry on October 30, 2009.

Q: What is Ehsan Tabaraee's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Q: When was this NPI record last updated?

The NPPES record for Ehsan Tabaraee was last updated on May 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 October 30, 2009PECOS EnrolledAccepts Medicare Assignment

609 E ORANGEBURG AVE, SUITE 201, MODESTO, CA 95350(209) 572-3224(209) 572-4528 Get Directions Write a Review

NPPES record last updated: May 12, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Ehsan Tabaraee M.d. NPPES

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

DR. EHSAN TABARAEE M.D. (NPI 1528394202) is an individual orthopaedic surgery of the spine provider in Modesto, California, licensed in California (A114899) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (2009).

NPPES Registry Identity

NPI1528394202

Entity TypeIndividualMale

Primary Taxonomy207XS0117X

Provider Legal NameDR. EHSAN TABARAEECredential: M.D.

Location Address609 E ORANGEBURG AVE, SUITE 201Modesto, CA 95350-5512

Mailing Address609 E Orangeburg Ave, Suite 201Modesto, CA 95350-5512 · (209) 572-3224 · Fax (209) 572-4528

Phone(209) 572-3224

Fax(209) 572-4528

Sole ProprietorYes

Medical School CMSGeorge Washington University School Of MedicineGraduated 2009

Enumeration DateOctober 30, 2009

Last NPPES UpdateMay 12, 2015

✔ NPI 1528394202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians

Taxonomy Code207XS0117X

License✔ Licensed in CA · A114899

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Also ListedOrthopaedic Surgery · Orthopaedic TraumaTaxonomy 207XX0801X · License A114899 (CA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

609 E ORANGEBURG AVE, Modesto, CA 95350

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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. Ehsan Tabaraee 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 ID2668603861

PECOS Enrollment IDI20150716000887

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 18

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

MARC A TRZECIAK D. O.

Orthopaedic Surgery

609 E ORANGEBURG AVE, SUITE 201
MODESTO, CA 95350

Stanislaus County (209) 572-3224

MRS. KAREN HENRIQUEZ OTC

Technician, Other

609 E ORANGEBURG AVE
MODESTO, CA 95350

Stanislaus County (209) 572-3224

DR. JONATHAN MATTHEW PETTEGREW D.O.

Orthopaedic Surgery (Sports Medicine)

609 E ORANGEBURG AVE, SUITE 201
MODESTO, CA 95350

Stanislaus County (209) 572-3224

MRS. BRANDY R CHAPIN OTC

609 E ORANGEBURG AVE, SUITE 201
MODESTO, CA 95350

Stanislaus County (209) 572-3224

DR. PURITA Z VILLANUEVA MD

Dermatology (Procedural Dermatology)

609 E ORANGEBURG AVE, SUITE 201
MODESTO, CA 95350

Stanislaus County (209) 572-3224

DR. JONATHAN COHEN M.D.

Specialist

609 E ORANGEBURG AVE, SUITE 201
MODESTO, CA 95350

Stanislaus County (209) 572-3224

MRS. CAROLYN LEVESEY PEASE

Physical Therapist

609 E ORANGEBURG AVE, 101
MODESTO, CA 95350

Stanislaus County (209) 574-9452

PACIFIC MEDICAL, INC.

Prosthetic/Orthotic Supplier

609 E ORANGEBURG AVE, SUITE 102
MODESTO, CA 95350

Stanislaus County (209) 526-1721

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 Ehsan Tabaraee's NPI number?

The NPI number for Ehsan Tabaraee is 1528394202. It was assigned to this individual provider in the NPPES registry on October 30, 2009.

Where is Ehsan Tabaraee located?

Ehsan Tabaraee practices at 609 E Orangeburg Ave Suite 201, Modesto, CA 95350. The listed phone number is (209) 572-3224.

What is Ehsan Tabaraee's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Ehsan Tabaraee enrolled in Medicare?

Yes. Ehsan Tabaraee 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.

When was this NPI record last updated?

The NPPES record for Ehsan Tabaraee was last updated on May 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.