RIDWAN M. TARABISHI (MD) – Pediatric Nephrology Physician, NPI 1346233319
Pediatric Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,204 PEDIATRIC MEDICINE in MI
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Provider Addresses for RIDWAN M. TARABISHI (MD)
130, Town Center Drive, Troy, Oakland County, Michigan, 48084, United States
SUITE 203
TROY, MI 480841744
Phone: (248) 585-8265
Fax: (248) 585-8266
Type: Mailing
Beaumont Hospital - Royal Oak, 3601, West 13 Mile Road, Royal Oak, Oakland County, Michigan, 48073, United States
ROYAL OAK, MI 480736712
Phone: (248) 898-5000
Fax: (248) 898-9189
Type: Location
730 W. High Street
Lima, OH 45801
Phone: (419) 251-8030
Type: Location
2213 Cherry St
Toledo, OH 436082603
Phone: (567) 290-6543
Type: Location
4126 N Holland Sylvania Rd Ste 220
Toledo, OH 436233537
Phone: (419) 251-8030
Type: Location
1103 Village Square Dr Ste 202
Perrysburg, OH 435511762
Phone: (419) 251-8030
Type: Location
2222 CHERRY ST STE 2300
TOLEDO, OH 436082675
Phone:
Type: Mailing
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: 2005-03-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050324000032 | I | Pediatric Medicine | OH | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48084)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Pediatric Medicine, Urology | OH | |
| Otolaryngology, Urology | OH | |
| Internal Medicine, Pediatric Medicine | OH | |
| Pediatric Medicine, Hospitalist | OH | |
| Cardiovascular Disease (Cardiology), Pediatric Medicine, Pediatric Medicine | OH | |
| O T O L A R Y N G O L O G Y | OH | |
| Nurse Practitioner | OH | |
| Cardiovascular Disease (Cardiology) | OH |
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