COURTNEY ANN TABAKA (D.O.) – Internal Medicine Physician, NPI 1285945667

COURTNEY ANN TABAKA (D.O.) is a healthcare provider. based in Chicago, Illinois. specializing in PULMONARY DISEASE, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials D.O.. They hold a License No. 036140671 (IL). The NPI Number for COURTNEY ANN TABAKA (D.O.) is 1285945667

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
COURTNEY ANN TABAKA (D.O.)
NPI
1285945667
Phone
(773) 631-2180
Address
7447 W TALCOTT AVE STE 542
Enumeration Date
30 June 2010
Last Update Date
3 January 2023

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
7736312180
Graduation Year
2010 (16 years ago)
PAC ID
5496984809
Group Practice PAC ID
2466494075
Professional Enrollment ID
I20160808001001
Address ID
IL606313716CH7447XAVEX410
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:15State licenses:1Digital endpointsOther names

848 PULMONARY DISEASE in IL

Provider Addresses for COURTNEY ANN TABAKA (D.O.)

  • 7447 W TALCOTT AVE STE 542

    CHICAGO, IL 606313716

    Phone: (773) 631-2180

    Fax: (773) 631-5947

    Type: Mailing

  • 1000 HARRINGTON ST

    MOUNT CLEMENS, MI 480432920

    Phone: (586) 493-8000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 48 Open Payments records for all available years, with a total value of $1,451.

Total Amount is formed as General ($1,451) + Research ($0) + Ownership ($0) = $1,451.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($158).

Total Amount

$1,451

General + Research + Ownership

Payments

48

Total payment records

General Amount

$1,451

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2017-08-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20160808001001ICritical Care (Intensivists)ILTBD
I20170811000866ICritical Care (Intensivists)MOTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1,424465$0
99291Critical care, first 30-74 minutes682294$0
99214Established patient office or other outpatient visit, 30-39 minutes189108$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes143137$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4318$0
View full utilization report →

Insurance plans in this area (ZIP 60631)

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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: 2466494075View full group profile
NameSpecialtyState
Pulmonary DiseaseIL
Critical Care (Intensivists), Pulmonary DiseaseIL
Nurse PractitionerIL
Pulmonary Disease, Critical Care (Intensivists)IL
Pulmonary Disease, Critical Care (Intensivists)IL
Pulmonary Disease, Critical Care (Intensivists)IL
Pulmonary Disease, Critical Care (Intensivists)IL

Reviews

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Frequently asked questions

Can I use this page to confirm COURTNEY ANN TABAKA (D.O.)'s NPI?
Yes. COURTNEY ANN TABAKA (D.O.) is listed with NPI 1285945667 in the public NPI dataset.
Can I rely on COURTNEY ANN TABAKA (D.O.) being an active provider?
As of the registry snapshot, COURTNEY ANN TABAKA (D.O.) is marked active.
What healthcare role does COURTNEY ANN TABAKA (D.O.) hold?
Scheduling teams often label COURTNEY ANN TABAKA (D.O.) under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for COURTNEY ANN TABAKA (D.O.)?
COURTNEY ANN TABAKA (D.O.)'s geographic hint is Chicago, Illinois in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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