DR. MOSES TABE AMBILICHU (M.D.) – Psychiatry Physician, NPI 1073774238
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,132 PSYCHIATRY in TX
Provider Addresses for DR. MOSES TABE AMBILICHU (M.D.)
2010 S Buckner Blvd
Dallas, TX 752171804
Phone: (888) 410-5230
Fax: (573) 271-5108
Type: Location
2805 E 19th St
Vancouver, WA 986614614
Phone: (888) 410-5230
Fax: (573) 271-5108
Type: Location
607, Teaco Road, Kennett, Dunklin County, Missouri, 63857, United States
KENNETT, MO 638573723
Phone: (573) 271-5108
Fax: (972) 974-0109
Type: Location
11695 S Blackbob Rd
Olathe, KS 660621058
Phone: (888) 410-5230
Type: Location
3400 Chapel Hill Rd
Douglasville, GA 301351739
Phone: (888) 410-5230
Fax: (573) 271-5108
Type: Location
4429 S River Blvd Ste D
Independence, MO 640554659
Phone: (888) 410-5230
Type: Location
12401 Olive Blvd Ste 206
Creve Coeur, MO 631415448
Phone:
Type: Location
10640 BUSINESS 21
HILLSBORO, MO 630505039
Phone: (618) 877-4420
Type: Location
716, Gage Road, Ilion, Town of Columbia, Herkimer County, New York, 13357, United States
COLUMBIA, MO 652050716
Phone: (888) 595-5101
Type: Mailing
3600 INTERSTATE 70 DR SE STE C
COLUMBIA, MO 652016583
Phone: (888) 410-5230
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-07-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120112000211 | I | Psychiatry | MO | TBD |
| I20160816001337 | I | Psychiatry | KS | TBD |
| I20230320001415 | I | Psychiatry | TX | TBD |
| I20230803001200 | I | Psychiatry | WI | TBD |
| I20240718004557 | I | Psychiatry | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 142 | 78 | $0 |
| 90832 | Psychotherapy, 30 minutes | 139 | 42 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 102 | 59 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 81 | 30 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 37 | 26 | $0 |
Insurance plans in this area (ZIP 75217)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology) | KS | |
| Family Practice | NC | |
| Nurse Practitioner | KS | |
| - | KS | |
| Physician Assistant | KS | |
| Nurse Practitioner | KS | |
| - | KS | |
| Internal Medicine | KS | |
| Nurse Practitioner | KS | |
| Cardiovascular Disease (Cardiology) | KS |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.