DR. DIANA TABOR (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1659786150

DR. DIANA TABOR (DPM) is a healthcare provider. based in Glen ellyn, Illinois. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 016005675 (IL). The NPI Number for DR. DIANA TABOR (DPM) is 1659786150

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. DIANA TABOR (DPM)
NPI
1659786150
Phone
(630) 510-6929
Address
430 PENNSYLVANIA AVE STE 240
Enumeration Date
24 June 2014
Last Update Date
23 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6304699200
Graduation Year
2014 (12 years ago)
PAC ID
0042588998
Group Practice PAC ID
5496667941
Professional Enrollment ID
I20170616001541
Address ID
IL601374464GL430XXAVEX300

Contacts

Secure Messaging
dpanek136394@direct.edward.org
Secure Messaging
dtabor136394@dulyhealthandcare.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

1,038 PODIATRY in IL

Provider Addresses for DR. DIANA TABOR (DPM)

  • 430 PENNSYLVANIA AVE STE 240

    GLEN ELLYN, IL 601374464

    Phone: (630) 510-6929

    Fax: (630) 355-3257

    Type: Location

  • 1860 PAYSHERE CIR

    CHICAGO, IL 606740001

    Phone: (630) 469-9200

    Type: Mailing

  • 17495 LA GRANGE RD

    TINLEY PARK, IL 604877581

    Phone: (708) 226-7000

    Type: Location

  • PO BOX 713260

    CHICAGO, IL 606771260

    Phone: (630) 469-9200

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $2,319.

Total Amount is formed as General ($2,319) + Research ($0) + Ownership ($0) = $2,319.

Last reported payment date: 2024-09-10 • Largest payer in this snapshot: International Life Sciences ($1,810).

Total Amount

$2,319

General + Research + Ownership

Payments

13

Total payment records

General Amount

$2,319

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-06-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170616001541IPodiatryILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes316194$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg25657$0
J1100Injection, dexamethasone sodium phosphate, 1 mg24856$0
99203New patient office or other outpatient visit, 30-44 minutes132132$0
99204New patient office or other outpatient visit, 45-59 minutes7171$0
View full utilization report →

Insurance plans in this area (ZIP 60137)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496667941View full group profile
NameSpecialtyState
E N D O C R I N O L O G YIL
Physician AssistantIL
Internal MedicineIL
Nurse PractitionerIL
-IL
-IL
-IL
-IL
-IL
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

What is the registry number for DR. DIANA TABOR (DPM)?
The registry entry for DR. DIANA TABOR (DPM) shows NPI 1659786150.
Is DR. DIANA TABOR (DPM)'s NPI status active today?
Active status means DR. DIANA TABOR (DPM)'s NPI record is not deactivated in the public file.
What type of care does DR. DIANA TABOR (DPM) provide?
DR. DIANA TABOR (DPM)'s profile centers on Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Is DR. DIANA TABOR (DPM) tied to Glen Ellyn, Illinois?
If you are local to Glen Ellyn, Illinois, DR. DIANA TABOR (DPM) may be relevant to your search.
Why is information missing for DR. DIANA TABOR (DPM)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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