IHSAN I. JABBOUR M.D. – NPI #1407899610
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

IHSAN JABBOUR is a physician located in WATERBURY, CT. NPPES has assigned the NPI number 1407899610 to IHSAN JABBOUR on June 14, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 9 years ago on Jan 19, 2017. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for IHSAN JABBOUR below.

NPI Profile for
IHSAN I. JABBOUR

NPI Number
1407899610
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
IHSAN I. JABBOUR
Credentials
M.D.
Primary location
171 GRANDVIEW AVE
SUITE # 105
WATERBURY, CT 06708-2517
Phone: (203) 755-2214 Fax: (203) 596-1133
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for IHSAN JABBOUR

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAEBHCT061212173
OTHERAETNACT0004112221
OTHERBC/BSCT010026820CT03
OTHERCIGNATN061212173 0005
OTHERCONNECTICARECT712173
OTHERCONNECTICARECT026820CT NO2
OTHEROXFORDCTP2041646
OTHERPHSCT0R0697
OTHERUNITED HEALTH CAREUT061212173
OTHERWELLCAREFL135799
MEDICAIDCT001268200
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
CT 026820
208600000X
- Surgery
CT 026820
207Q00000X
- Family Medicine
CT 026820
207PE0005X
- Emergency Medicine / Undersea and Hyperbaric Medicine
CT 026820

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
IHSAN JABBOUR is affiliated with the following medical group(s):
  • HOSPITAL
    • MIDSTATE MEDICAL CENTER
      435 LEWIS AVENUE
      MERIDEN, CT 06450
    • WATERBURY HOSPITAL
      64 ROBBINS ST
      WATERBURY, CT 06721

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.