DR. ELI ROBERT TANENBAUM MD
NPI 1861288128
Student in an Organized Health Care Education/Training Program in Toledo, OH

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 15, 2025PECOS Enrolled

2109 HUGHES DR, TOLEDO, OH 43606(419) 291-0159 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Eli Robert Tanenbaum Md NPPES

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

DR. ELI ROBERT TANENBAUM MD (NPI 1861288128) is an individual student in an organized health care education/training program in Toledo, Ohio and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861288128

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. ELI ROBERT TANENBAUMCredential: MD

Location Address2109 HUGHES DRToledo, OH 43606-3858

Mailing Address3125 Transverse DrToledo, OH 43614-8008

Phone(419) 291-0159

Sole ProprietorYes

Enumeration DateApril 15, 2025

NPPES CertifiedApril 15, 2025

✔ NPI 1861288128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2109 HUGHES DR, Toledo, OH 43606

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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 (PECOS)

Dr. Eli Robert Tanenbaum Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.