ALI DAVID TABATABAI (CRNA) – Certified Registered Nurse Anesthetist, NPI 1649220625

ALI DAVID TABATABAI (CRNA) is a healthcare provider. based in Maywood, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 28162354A (IN). The NPI Number for ALI DAVID TABATABAI (CRNA) is 1649220625

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
ALI DAVID TABATABAI (CRNA)
NPI
1649220625
Phone
(708) 216-9000
Address
2160 S 1ST AVE
Enumeration Date
11 May 2006
Last Update Date
4 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7082169000
Graduation Year
2003 (23 years ago)
PAC ID
7810969839
Group Practice PAC ID
3779488903
Professional Enrollment ID
I20040810001277
Address ID
IL601533328MA2160XAVEX400

Contacts

Secure Messaging
atabatabai29036@direct.luhs.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL

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Provider Addresses for ALI DAVID TABATABAI (CRNA)

  • 2160, South 1st Avenue, Maywood, Proviso Township, Cook County, Illinois, 60153, United States

    MAYWOOD, IL 601533328

    Phone: (708) 216-9000

    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: 2004-08-10

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
I20040810001277ICertified Registered Nurse Anesthetist (Crna)ILTBD

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
00811Anesthesia for other procedure on large bowel using an endoscope3333$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2220$0
00813Anesthesia for procedure on small and large bowel using an endoscope1515$0
View full utilization report →

Insurance plans in this area (ZIP 60153)

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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: 3779488903View full group profile

Reviews

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Frequently asked questions

How do payers reference ALI DAVID TABATABAI (CRNA)?
For ALI DAVID TABATABAI (CRNA), use NPI 1649220625 as the unique 10-digit identifier.
Is ALI DAVID TABATABAI (CRNA) still an active registrant?
ALI DAVID TABATABAI (CRNA) carries an active NPI according to the public dataset.
What kind of doctor is ALI DAVID TABATABAI (CRNA)?
ALI DAVID TABATABAI (CRNA) is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for ALI DAVID TABATABAI (CRNA)?
Travel planning: use Maywood, Illinois as the reference point for ALI DAVID TABATABAI (CRNA), then confirm.
When was this NPI issued?
Enumeration for ALI DAVID TABATABAI (CRNA) is noted as May 11, 2006 where the registry provides it.

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