JUSTIN JABARA (MD) – Orthopaedic Surgery Physician, NPI 1194288654

JUSTIN JABARA (MD) is a healthcare provider. based in Minneapolis, Minnesota. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. 4301513594 (MI). The NPI Number for JUSTIN JABARA (MD) is 1194288654

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN JABARA (MD)
NPI
1194288654
Phone
(612) 273-8043
Address
2450 RIVERSIDE AVE # R200
Enumeration Date
11 April 2019
Last Update Date
3 July 2025

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2317331326
Graduation Year
2019 (7 years ago)
PAC ID
2365771110
Group Practice PAC ID
7214908045
Professional Enrollment ID
I20250701000994
Address ID
MI494441833MU1400XDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Digital endpointsOther names

819 ORTHOPEDIC SURGERY in MN

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Provider Addresses for JUSTIN JABARA (MD)

  • Riverside Avenue, Seward, Minneapolis, Hennepin County, Minnesota, 55455-0500, United States

    MINNEAPOLIS, MN 554541450

    Phone: (612) 273-8043

    Type: Mailing

  • 2450 Riverside Ave # R200

    Minneapolis, MN 554541450

    Phone: (612) 273-8043

    Type: Location

  • 1400 MERCY DR STE 100

    MUSKEGON, MI 494441833

    Phone: (231) 733-1326

    Fax: (231) 733-5212

    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: 2025-07-01

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
I20250701000994IOrthopedic SurgeryMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55454)

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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: 7214908045View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YMI
Physician AssistantTX
Physician AssistantMI
Physician AssistantMI
Orthopedic SurgeryMI
Physician AssistantMI
Physician AssistantIA
Physician AssistantIL
Orthopedic SurgeryMI
-MI

Reviews

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Frequently asked questions

How do I look up JUSTIN JABARA (MD) by NPI?
Use NPI 1194288654 when you need to reference JUSTIN JABARA (MD) in forms, claims, or directories.
Does this profile mean JUSTIN JABARA (MD) is currently active?
Yes — JUSTIN JABARA (MD) appears active in the national provider directory.
What does JUSTIN JABARA (MD) treat or focus on?
Patients typically see JUSTIN JABARA (MD) under the specialty Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where does public data place JUSTIN JABARA (MD)?
The snapshot lists Minneapolis, Minnesota for JUSTIN JABARA (MD); download NPPES for the complete set.
Is JUSTIN JABARA (MD) a real provider?
This page reflects official NPPES data for NPI 1194288654. Always confirm identity and privileges with the practice and licensing boards.

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