HAZEM TABBAA D.O
NPI 1619393477
Internal Medicine in Fort Wayne, IN

Q: What is Hazem Tabbaa's NPI number?

The NPI number for Hazem Tabbaa is 1619393477. It was assigned to this individual provider in the NPPES registry on March 17, 2014.

Q: What is Hazem Tabbaa's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Hazem Tabbaa was last updated on June 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 March 17, 2014PECOS EnrolledAccepts Medicare Assignment

11050 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845(833) 724-8326 Get Directions Write a Review

NPPES record last updated: June 24, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 24, 2020, Feb 3, 2020 (2 updates tracked since 2020).

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About Hazem Tabbaa D.o NPPES

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

HAZEM TABBAA D.O (NPI 1619393477) is an individual internal medicine provider in Fort Wayne, Indiana, licensed in Indiana (02005812A) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with Memorial Healthcare, and is a graduate of Philadelphia College Of Osteopathic Medicine (2013).

NPPES Registry Identity

NPI1619393477

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameHAZEM TABBAACredential: D.O

Location Address11050 PARKVIEW CIRCLE DRFort Wayne, IN 46845-1739

Mailing Address3702 New Vision Dr Bldg BFort Wayne, IN 46845-1703 · (260) 266-6013

Phone(833) 724-8326

Sole ProprietorYes

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2013

Enumeration DateMarch 17, 2014

Last NPPES UpdateJune 24, 20202 updates tracked since enumeration

NPPES CertifiedJune 24, 2020

✔ NPI 1619393477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IN · 02005812A

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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

11050 PARKVIEW CIRCLE DR, Fort Wayne, IN 46845

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Other Identifiers 1

Medicaid300034150IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

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

Hazem Tabbaa D.o 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 ID3476848649

PECOS Enrollment IDI20210607003057

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.

Areas of Expertise CMS Part B claims 9

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 polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

75 services72 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

60 services59 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.

34 services23 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

33 services33 patients

Exam of common bile and/or pancreatic duct using a flexible endoscope 43273

This procedure, known as an ERCP, involves a flexible tube with a camera, called an endoscope, being gently passed down your throat to examine your common bile or pancreatic duct. It helps doctors diagnose and treat conditions affecting these areas.

14 services13 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

13 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Healthcare

Acute Care Hospitals · Owosso, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230121

Location826 West King StreetOwosso, MI 48867 · Shiawassee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46845 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

JESSICA NICOLE HEFFNER

Registered Nurse (Oncology)