Individual provider

Ihsan Jabbour, M.D.

General Practice Physician Undersea and Hyperbaric Medicine (Emergency Medicine) Physician Surgery Physician Medicare enrolled

Ihsan Jabbour, M.D. is a General Practice Physician in Waterbury, CT, registered under NPI 1407899610. This provider registers 4 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 171 GRANDVIEW AVE SUITE # 105, Waterbury, CT 06708. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

171 GRANDVIEW AVE SUITE # 105, Waterbury, CT 06708 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
026820 CT General Practice Physician primary
026820 CT Undersea and Hyperbaric Medicine…
026820 CT Surgery Physician
026820 CT Family Medicine Physician

This provider holds licence 026820 issued in CT. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - General Surgery
PAC ID
4385787639
Enrollment ID
I20100209000009

Medicare enrolment is recorded as approved under the provider type Practitioner - General Surgery. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What General Practice covers

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. NUCC Health Care Provider Taxonomy, code 208D00000X
Allopathic & Osteopathic Physicians General Practice

All registered taxonomy codes

This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
208D00000X General Practice Physician 026820 CT primary
207PE0005X Undersea and Hyperbaric Medicine (Emergency Medicine) Physician Undersea and Hyperbaric Medicine 026820 CT
208600000X Surgery Physician 026820 CT
207Q00000X Family Medicine Physician 026820 CT

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1407899610 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJun 14, 2006
Last updatedJan 19, 2017
StatusActive
Sole proprietorYes
CredentialM.D.
Practice address 171 GRANDVIEW AVE
SUITE # 105
Waterbury, CT 06708
(203) 755-2214
Fax (203) 596-1133
Other identifiers 001268200 · Medicaid (CT)
010026820CT03 · Other (CT)
135799 · Other (FL)
P2041646 · Other (CT)
061212173 · Other (UT)
061212173 · Other (CT)
712173 · Other (CT)
061212173 0005 · Other (TN)
0R0697 · Other (CT)
0004112221 · Other (CT)
026820CT NO2 · Other (CT)
This record was last updated on Jan 19, 2017, roughly 9 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1407899610 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 4 0 7 8 9 9 6 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 4 0 7 7 9 9 6 2

Sum = 70 · next multiple of 10 = 70 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1407899610?
NPI 1407899610 is the National Provider Identifier assigned to Ihsan Jabbour, M.D. in Waterbury, CT. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does General Practice Physician cover?
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
How do I contact Ihsan Jabbour, M.D.?
The phone number on file with NPPES is (203) 755-2214, last updated Jan 19, 2017. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Ihsan Jabbour, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1407899610 a valid number?
Yes. 1407899610 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.