DR. IMAD TAHBOUB (MD) – Internal Medicine Physician, NPI 1669468336

DR. IMAD TAHBOUB (MD) is a healthcare provider. based in Jackson, Mississippi. specializing in INTERNAL MEDICINE, NEPHROLOGY. They hold the professional credentials MD. They hold a License No. IT053374 (MI). The NPI Number for DR. IMAD TAHBOUB (MD) is 1669468336

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. IMAD TAHBOUB (MD)
NPI
1669468336
Phone
(601) 200-4880
Address
PO BOX 22727
Enumeration Date
27 September 2005
Last Update Date
29 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1983 (43 years ago)
PAC ID
9436142866
Group Practice PAC ID
9931010600
Professional Enrollment ID
I20140923000274
Address ID
MS388014934TU830XXTOWE800
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:20State licenses:3Digital endpointsOther names

1,232 INTERNAL MEDICINE in MS

Loading map...

Provider Addresses for DR. IMAD TAHBOUB (MD)

  • PO BOX 22727

    JACKSON, MS 392252727

    Phone: (601) 200-4880

    Fax: (601) 200-0988

    Type: Mailing

  • 1200, North State Street, Greater Belhaven, Jackson, Hinds County, Mississippi, 39202, United States

    SUITE 480

    JACKSON, MS 392022000

    Phone: (601) 352-2273

    Fax: (601) 714-3415

    Type: Location

  • 215 MARION AVE

    MCCOMB, MS 396482705

    Phone: (601) 249-5500

    Fax: (601) 249-1173

    Type: Location

  • PO BOX 490

    MCCOMB, MS 396490490

    Phone: (601) 250-4366

    Fax: (601) 250-4367

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $249.

Total Amount is formed as General ($249) + Research ($0) + Ownership ($0) = $249.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: ABIOMED ($140).

Total Amount

$249

General + Research + Ownership

Payments

7

Total payment records

General Amount

$249

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2022-07-01

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20110914000315IInternal MedicineALTBD
I20140923000274IInternal MedicineMSTBD
I20220701002813IInternal MedicineFLTBD

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 minutes1,227412$0
99239Hospital discharge day management, more than 30 minutes236233$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes231108$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4545$0
99238Hospital discharge day management, 30 minutes or less1313$0
View full utilization report →

Insurance plans in this area (ZIP 39225)

Loading plans...

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: 9931010600View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MS
-MN
Certified Registered Nurse Anesthetist (Crna)MS
Certified Registered Nurse Anesthetist (Crna)MS
Gynecological Oncology, Obstetrics/GynecologyAL
-MS
Nurse PractitionerMS
Clinical Social WorkerMS
-TN
Nurse PractitionerMS

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is DR. IMAD TAHBOUB (MD)'s NPI number?
DR. IMAD TAHBOUB (MD)'s NPI is 1669468336 — the number used across U.S. healthcare to identify this provider.
Is DR. IMAD TAHBOUB (MD) shown as active in public data?
Registry records indicate DR. IMAD TAHBOUB (MD) maintains an active NPI.
What clinical focus is listed for DR. IMAD TAHBOUB (MD)?
At a glance, DR. IMAD TAHBOUB (MD) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. IMAD TAHBOUB (MD)?
Directory geography for DR. IMAD TAHBOUB (MD) centers on Jackson, Mississippi.
Can I trust this NPI listing for DR. IMAD TAHBOUB (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

Similar Providers

MARK E WILSON (MD)

Gastroenterology Physician
2510, Lakeland Drive, Flowood, Rankin County, Mississippi, 39232, United States
NPI: 1184612368

SADEKA TAMANNA (M.D.)

Internal Medicine Physician
G.V. (Sonny) Montgomery VA Medical Center, 1500, East Woodrow Wilson Avenue, Jackson, Hinds County, Mississippi, 39216, United States
NPI: 1740264035

MOHAMMAD IFTEKHAR ULLAH (MD)

Sleep Medicine (Internal Medicine) Physician
University of Mississippi Medical Center, 2500, North State Street, Woodland Hills, Jackson, Hinds County, Mississippi, 39216, United States
NPI: 1659355949

Unknown Individual

Internal Medicine Physician
350, West Woodrow Wilson Avenue, Jackson, Hinds County, Mississippi, 39209, United States
NPI: 1881673648

JAMES T PEOPLES (MD)

Internal Medicine Physician
PO BOX 23996
NPI: 1588634760

DENISE LYNN HARKINS (MD)

Internal Medicine Physician
University of Mississippi Medical Center, 2500, North State Street, Woodland Hills, Jackson, Hinds County, Mississippi, 39216, United States
NPI: 1124094453

CHARLES E. EWOH (M.D.)

Internal Medicine Physician
PO BOX 22727
NPI: 1114994621

Baptist Medical Clinics

Internal Medicine Physician
123 Bo Bo Dr
NPI: 1992774814