DR. EDGAR VINCENT TABILA D.O.
NPI 1841528346
Family Medicine - Sports Medicine in Warren, MI
About Dr. Edgar Vincent Tabila D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EDGAR VINCENT TABILA D.O. (NPI 1841528346) is an individual sports medicine provider in Warren, Michigan, licensed in California (20A18381) and active in the NPI registry since November 2009. He is enrolled in Medicare PECOS and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2017).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Edgar Vincent Tabila 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.
Medicare Billing Reassignment
Medicare enrollment records show Edgar Tabila reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hemet, CA 92545
- Reassigned Medicare billing, California enrollment
- 5,228 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48088 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Edgar Tabila's NPI number?
The NPI number for Edgar Tabila is 1841528346. It was assigned to this individual provider in the NPPES registry on November 23, 2009.
Where is Edgar Tabila located?
Edgar Tabila practices at 27450 Schoenherr Rd Suite 400, Warren, MI 48088. The listed phone number is (586) 582-7550.
What is Edgar Tabila's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.
Is Edgar Tabila enrolled in Medicare?
Yes. Edgar Tabila 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.
Which organization bills Medicare for Edgar Tabila's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edgar Tabila reassigns Medicare benefits to Southern California Permanente Medical Group (Hemet, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edgar Tabila's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Edgar Tabila was last updated on December 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Edgar Vincent Tabila, D.O. · NPI 1841528346
Sports Medicine physician in Warren, Michigan. Individual provider, active in the CMS NPPES registry since November 23, 2009.
## Identity
- **NPI:** 1841528346 (Entity type: Individual)
- **Enumerated:** November 23, 2009
- **Primary specialty:** Family Medicine - Sports Medicine · taxonomy 207QS0010X
- **State license:** 20A18381 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 27450 SCHOENHERR RD, SUITE 400, Warren, MI 48088-6683
- **Phone:** (586) 582-7550
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1013433465, Hemet, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Des Moines University Of Osteopathic Medicine And Health Sciences, class of 2017
## Record status
- **NPPES last updated:** December 7, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1841528346) · Data from the CMS NPPES public registry.