DR. MOSES TABE AMBILICHU M.D.
NPI 1073774238
Psychiatry & Neurology - Psychiatry in Columbia, MO

Active since June 20, 2008PECOS EnrolledAccepts Medicare Assignment
3600 INTERSTATE 70 DR SE STE C, COLUMBIA, MO 65201(888) 410-5230 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 24, 2026, May 12, 2025, Jul 19, 2024 and 2 more (5 updates tracked since 2017).

About Dr. Moses Tabe Ambilichu M.d. NPPES

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

DR. MOSES TABE AMBILICHU M.D. (NPI 1073774238) is an individual psychiatry provider in Columbia, Missouri, licensed in Missouri (2011019835) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Shawnee Mission, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1073774238
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. MOSES TABE AMBILICHUCredential: M.D.
Location Address3600 INTERSTATE 70 DR SE STE CColumbia, MO 65201-6583
Mailing AddressPo Box 716Columbia, MO 65205-0716 · (888) 595-5101
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 20, 2008
Last NPPES UpdateApril 24, 20265 updates tracked since enumeration
NPPES CertifiedApril 24, 2026
NPI 1073774238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses Licensed in MO · 2011019835 Licensed in WA · IMLC.MD.61663049 Licensed in GA · 94029 Licensed in TX · U0278 Licensed in KS · 04-39077
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

3600 INTERSTATE 70 DR SE STE C, Columbia, MO 65201

Secondary Practice Locations 6

Location 13400 Chapel Hill RdDouglasville, GA 30135-1739 · Phone (888) 410-5230 · Fax (573) 271-5108
Location 22010 S Buckner BlvdDallas, TX 75217-1804 · Phone (888) 410-5230 · Fax (573) 271-5108
Location 32805 E 19th StVancouver, WA 98661-4614 · Phone (888) 410-5230 · Fax (573) 271-5108
Location 412401 Olive Blvd Ste 206Creve Coeur, MO 63141-5448
Location 54429 S River Blvd Ste DIndependence, MO 64055-4659 · Phone (888) 410-5230
Location 611695 S Blackbob RdOlathe, KS 66062-1058 · Phone (888) 410-5230

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Moses Tabe Ambilichu M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224205307
PECOS Enrollment IDI20120112000211, I20160816001337, I20230320001415, I20240718004557
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
114 services40 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
29 services29 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Shawnee Mission

Acute Care Hospitals · Shawnee Mission, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number170104
Location9100 W 74th StreetShawnee Mission, KS 66204 · Johnson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65201 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
$161.24 typical visit price
range $52.28 – $161.24
Typical copayment $40.31 (range $13.07 – $40.31)
Most-billed visit code 99205
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
Most-billed visit code 99213
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

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

Psychiatry & Neurology (Psychiatry)
3600 INTERSTATE 70 DR SE STE C
COLUMBIA, MO 65201

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 Moses Tabe Ambilichu's NPI number?

The NPI number for Moses Tabe Ambilichu is 1073774238. It was assigned to this individual provider in the NPPES registry on June 20, 2008.

Where is Moses Tabe Ambilichu located?

Moses Tabe Ambilichu practices at 3600 Interstate 70 Dr SE Ste C, Columbia, MO 65201. The listed phone number is (888) 410-5230.

What is Moses Tabe Ambilichu's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Moses Tabe Ambilichu enrolled in Medicare?

Yes. Moses Tabe Ambilichu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Moses Tabe Ambilichu accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 10 other insurers list Moses Tabe Ambilichu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Moses Tabe Ambilichu affiliated with any hospitals?

According to CMS data, Moses Tabe Ambilichu is affiliated with Adventhealth Shawnee Mission.

When was this NPI record last updated?

The NPPES record for Moses Tabe Ambilichu was last updated on April 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.