HALEH TABRAH (M.D.) – Psychiatry Physician, NPI 1083640353
Psychiatry Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,247 PSYCHIATRY in OH
Provider Addresses for HALEH TABRAH (M.D.)
3020 W Tech Blvd
Miamisburg, OH 453424883
Phone: (305) 814-5530
Type: Location
Building K, 2789, Ortiz Avenue, SalusCare - Ortiz Campus, The Forum, Fort Myers, Lee County, Florida, 33905, United States
FORT MYERS, FL 339057806
Phone: (239) 275-3222
Fax: (239) 275-3103
Type: Mailing
4240 5TH AVE SW
NAPLES, FL 341192909
Phone: (305) 814-5530
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $58.
Total Amount is formed as General ($58) + Research ($0) + Ownership ($0) = $58.
Last reported payment date: 2023-12-13 • Largest payer in this snapshot: Corium, LLC ($35).
Total Amount
$58
General + Research + Ownership
Payments
2
Total payment records
General Amount
$58
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Corium, LLC | $35 |
| ABBVIE INC. | $23 |
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: 2022-05-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090729000836 | I | Psychiatry | FL | TBD |
| I20220503001167 | I | Psychiatry | MO | 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 45342)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| Clinical Social Worker | CO | |
| - | WI | |
| Nurse Practitioner | MO | |
| Infectious Disease | WI | |
| Infectious Disease, Internal Medicine | WI | |
| Infectious Disease | TX | |
| Clinical Social Worker | MO | |
| Nurse Practitioner | MO | |
| Clinical Social Worker | MO |
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