IndividualActive
Carolyn Tabak, M.D., M.P.H.
NPI 1922407170 · Family Medicine Physician · Boulder, CO
Provider details
- NPI number
- 1922407170
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., M.P.H.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 60 226042 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
844 Iris Ave
Boulder, CO 80304-1758
Phone: (301) 445-4013
Street-level locationGet directions
Mailing address
844 Iris Ave
Boulder, CO 80304-1758
Additional practice locations (1)
- 10903 New Hampshire AveSilver Spring, MD 20903-1058Phone: (301) 796-3405
Registry dates
- Enumerated
- 2014-08-13
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.