DANIELLE M. TABAKA (P.A.) – Medical Physician Assistant, NPI 1972596997

DANIELLE M. TABAKA (P.A.) is a healthcare provider. based in Higganum, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 001698 (CT). The NPI Number for DANIELLE M. TABAKA (P.A.) is 1972596997

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
DANIELLE M. TABAKA (P.A.)
NPI
1972596997
Phone
(860) 554-5021
Address
11 ARKONA DR
Enumeration Date
24 August 2005
Last Update Date
7 July 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8603585322
Graduation Year
2005 (21 years ago)
PAC ID
6103847736
Group Practice PAC ID
5092611731
Professional Enrollment ID
I20051212000348
Address ID
CT064573654MI28XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,244 PHYSICIAN ASSISTANT in CT

Provider Addresses for DANIELLE M. TABAKA (P.A.)

  • 11 ARKONA DR

    HIGGANUM, CT 064414479

    Phone: (860) 554-5021

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-12-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051212000348IPhysician AssistantCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9155$0
99239Hospital discharge day management, more than 30 minutes5047$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2121$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1211$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 06441)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092611731View full group profile
NameSpecialtyState
Family Practice, HospitalistCT
-CT
H O S P I T A L I S TDC
H O S P I T A L I S TCT
Nurse PractitionerCT
Family Practice, Geriatric MedicineCT
-CT
H O S P I T A L I S TCT
-CT
Physician AssistantCT

Reviews

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Frequently asked questions

Is DANIELLE M. TABAKA (P.A.) listed with a National Provider Identifier?
Yes — DANIELLE M. TABAKA (P.A.) has NPI 1972596997 on file in the registry.
Is there an active status for DANIELLE M. TABAKA (P.A.)?
For scheduling context, DANIELLE M. TABAKA (P.A.) is shown as active in the registry.
What clinical focus is listed for DANIELLE M. TABAKA (P.A.)?
At a glance, DANIELLE M. TABAKA (P.A.) is tied to Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is DANIELLE M. TABAKA (P.A.) located near Higganum?
DANIELLE M. TABAKA (P.A.) currently maps to Higganum, Connecticut in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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