BRIAN PATRICK TABATA MD
NPI 1053259564
Emergency Medicine in Maywood, IL

Active since March 24, 2026PECOS Enrolled
2160 S 1ST AVE, MAYWOOD, IL 60153(888) 584-7888 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 11, 2026, Mar 24, 2026 (2 updates tracked since 2026).

About Brian Patrick Tabata Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN PATRICK TABATA MD (NPI 1053259564) is an individual emergency medicine provider in Maywood, Illinois, licensed in Illinois (125087210) and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053259564
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameBRIAN PATRICK TABATACredential: MD
Location Address2160 S 1ST AVEMaywood, IL 60153-3328
Mailing Address2160 S 1st AveMaywood, IL 60153-3328
Sole ProprietorYes
Enumeration DateMarch 24, 2026
Last NPPES UpdateJune 11, 20262 updates tracked since enumeration
NPPES CertifiedJune 11, 2026
NPI 1053259564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in IL · 125087210
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2160 S 1ST AVE, Maywood, IL 60153

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Brian Patrick Tabata Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60153 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Podiatrist (Foot & Ankle Surgery)
2160 S 1ST AVE
MAYWOOD, IL 60153
Psychiatry & Neurology (Neurology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Oral & Maxillofacial Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Psychiatry & Neurology (Psychiatry)
2160 S 1ST AVE
MAYWOOD, IL 60153
Student in an Organized Health Care Education/Training Program
2160 S 1ST AVE
MAYWOOD, IL 60153
Orthopaedic Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Internal Medicine
2160 S 1ST AVE
MAYWOOD, IL 60153

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Tabata's NPI number?

The NPI number for Brian Tabata is 1053259564. It was assigned to this individual provider in the NPPES registry on March 24, 2026.

Where is Brian Tabata located?

Brian Tabata practices at 2160 S 1st Ave, Maywood, IL 60153. The listed phone number is (888) 584-7888.

What is Brian Tabata's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Brian Tabata enrolled in Medicare?

Yes. Brian Tabata is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brian Tabata was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.