NPI 1649220625
Ali David Tabatabai, CRNA
Nurse Anesthetist, Certified Registered · Maywood, IL
Active in the CMS NPI RegistryNot on the OIG exclusion listchecked Oct 16, 2026, 9:09 am EDT
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Ali David Tabatabai, CRNA is a health care provider (Nurse Anesthetist, Certified Registered) in Maywood, Illinois with National Provider Identifier (NPI) 1649220625. The NPI was issued on May 11, 2006 and the registry record was last updated on May 4, 2021. The registry lists 2 licenses in Illinois, Indiana.
Registry record
- NPI
- 1649220625
- Type
- Individual (NPI-1)
- Primary specialty
- Nurse Anesthetist, Certified Registered 367500000X
- Practice location
- 2160 S 1st Ave
Maywood, IL 60153-3328 - Phone
- (708) 216-9000
- NPI issued
- May 11, 2006
- Registry record updated
- May 4, 2021
Specialties and licenses
| Specialty | Taxonomy code | License state | License |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | Illinois | 209004917 |
| Specialist | 174400000X | Indiana | 28162354A |
Confirm license status and discipline with the state board (links in NPI Lookup).
Source: CMS National Plan and Provider Enumeration System (NPPES) and the HHS-OIG List of Excluded Individuals/Entities (list of Oct 9, 2026). Is this your record? Update it in NPPES or email info@2minutemedicine.com to have it hidden here.