Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Omidreza Tabatabaie, MD

Individual provider Surgery Physician · NPI 1477082527

Omidreza Tabatabaie, MD is a General Surgery in Beaumont, Texas. Qualified in 2014, 12 years ago. Practices with Diagnostic Group Integrated Healthcare System, PLLC, a 35-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
12
Licensed in
TX
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3406 College St Ste 101
Beaumont, TX 77701-4612
Phone: (409) 813-1677
Fax: (409) 920-7093
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence T6726 (TX)

Record details

NPI number1477082527
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 11, 2017
Last updated in NPPESJune 25, 2024
Certification dateJune 25, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Diagnostic Group Integrated Healthcare System, Pllc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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