DR. EDGAR VINCENT TABILA D.O.
NPI 1841528346
Family Medicine - Sports Medicine in Warren, MI

Q: 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.

Q: What is Edgar Tabila's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: 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.

Active since November 23, 2009PECOS EnrolledAccepts Medicare Assignment

27450 SCHOENHERR RD, SUITE 400, WARREN, MI 48088(586) 582-7550 Get Directions Write a Review

NPPES record last updated: December 7, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 7, 2021, May 3, 2021, May 8, 2017 (3 updates tracked since 2017).

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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

NPI1841528346

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameDR. EDGAR VINCENT TABILACredential: D.O.

Location Address27450 SCHOENHERR RD, SUITE 400Warren, MI 48088-6683

Mailing AddressPhr Group Provider Enrollment Unit 3rd Fl, 393 E Walnut StPasadena, CA 91188-0001 · (877) 608-0044 · Fax (877) 514-0903

Phone(586) 582-7550

Sole ProprietorYes

Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2017

Enumeration DateNovember 23, 2009

Last NPPES UpdateDecember 7, 20213 updates tracked since enumeration

NPPES CertifiedDecember 7, 2021

✔ NPI 1841528346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in CA · 20A18381

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

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

27450 SCHOENHERR RD, Warren, MI 48088

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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. 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.

PECOS PAC ID7416377783

PECOS Enrollment IDI20210629002036

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 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.

New Patient

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

DR. OLIVER DIMITRIJEVIC MD

Internal Medicine

27450 SCHOENHERR RD, SUITE 500
WARREN, MI 48088

Macomb County (586) 582-7632

JENNIFER BURLINGAME D.O.

Family Medicine

27450 SCHOENHERR RD, STE. 400
WARREN, MI 48088

Macomb County (586) 582-7550

ERICA NICOLE BALYSH D.O.

Family Medicine

27450 SCHOENHERR RD, STE. 400
WARREN, MI 48088

Macomb County (586) 582-7550

DR. HARLEEN KANG M.D.

Hospitalist

27450 SCHOENHERR RD, SUITE #500
WARREN, MI 48088

Macomb County (586) 582-7632

MRS. LAURA DENISE MCDONNELL O.T.

Occupational Therapist

27450 SCHOENHERR RD, 100
WARREN, MI 48088

Macomb County (586) 582-7825

DR. JASON IAN SOFFA D.O.

Family Medicine

27450 SCHOENHERR RD, SUITE 400
WARREN, MI 48088

Macomb County (586) 582-7550

MR. ANTHONY PAUL ZUCCARO P.T.

Physical Therapist

27450 SCHOENHERR RD
WARREN, MI 48088

Macomb County (586) 582-7825

CHARLES W. MCCLOSKEY MD

Family Medicine

27450 SCHOENHERR RD, 400
WARREN, MI 48088

Macomb County (586) 582-7550

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.

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.