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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since June 20, 2008PECOS EnrolledAccepts Medicare Assignment
3700 I 70 DR SE STE 110, COLUMBIA, MO 65201(888) 410-5230 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 5, 2026, Apr 24, 2026, May 12, 2025 and 3 more (6 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 7 additional practice locations.

NPPES Registry Identity

NPI1073774238
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. MOSES TABE AMBILICHUCredential: M.D.
Location Address3700 I 70 DR SE STE 110Columbia, MO 65201-6587
Mailing AddressPo Box 716Columbia, MO 65205-0716 · (888) 595-5101
Phone(888) 410-5230
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 20, 2008
Last NPPES UpdateOctober 5, 20266 updates tracked since enumeration
NPPES CertifiedOctober 5, 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 GA · 94029✔ Licensed in TX · U0278✔ Licensed in KS · 04-39077✔ Licensed in WA · IMLC.MD.61663049
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.
3700 I 70 DR SE STE 110, Columbia, MO 65201
Open in Google Maps ↗

Secondary Practice Locations 7

Location 111695 S Blackbob RdOlathe, KS 66062-1058 · Phone (888) 410-5230
Location 23400 Chapel Hill RdDouglasville, GA 30135-1739 · Phone (888) 410-5230
Location 34429 S River Blvd Ste DIndependence, MO 64055-4659 · Phone (888) 410-5230
Location 412401 Olive Blvd Ste 206Creve Coeur, MO 63141-5448
Location 52010 S Buckner BlvdDallas, TX 75217-1804 · Phone (888) 410-5230 · Fax (573) 271-5108
Location 62805 E 19th StVancouver, WA 98661-4614 · Phone (888) 410-5230 · Fax (573) 271-5108
Location 73600 Interstate 70 Dr SE Ste CColumbia, MO 65201-6583 · Phone (888) 410-5230 · Fax (573) 271-5108

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

6

Medicare enrollment records show Moses Tabe Ambilichu reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Success Health System, LLC
Same address
Psychiatry
3700 I 70 DR SE STE 110
Columbia, MO 65201
  • Reassigned Medicare billing, Georgia, Kansas, Missouri and Texas enrollments
NPI 1508310293 (888) 410-5230
Shawnee Mission Medical Center Inc
124 mi
Family Medicine
9100 W 74TH ST
Merriam, KS 66204
  • Reassigned Medicare billing, Kansas enrollment
  • 384 clinicians in this Medicare group
NPI 1992735690 (913) 676-2000
Nevada City Hospital
132 mi
Surgery
800 S. ASH STREET, SUITE 220
Nevada, MO 64772
  • Reassigned Medicare billing, Missouri enrollment
  • 115 clinicians in this Medicare group
NPI 1164754859 (417) 448-3644
Chestnut Health Systems Inc
208 mi
Rehabilitation, Substance Use Disorder
1003 MARTIN LUTHER KING DR
Bloomington, IL 61701
  • Reassigned Medicare billing, Missouri enrollment
  • 17 clinicians in this Medicare group
NPI 1366431686 (309) 827-6026
Mayo Clinic Health System-Northwest Wisconsin Region, Inc.
392 mi
Multi-Specialty
13025 8TH ST
Osseo, WI 54758
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,248 clinicians in this Medicare group
NPI 1083140990 (715) 597-3121
River Region Psychiatry Associates LLC
573 mi
Psychiatry
233 WINTON BLOUNT LOOP
Montgomery, AL 36117
  • Reassigned Medicare billing, Missouri enrollment
  • 4 clinicians in this Medicare group
NPI 1386891497 (334) 270-5502

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 3

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

SUCCESS HEALTH SYSTEM, LLC
Psychiatry & Neurology (Psychiatry)
3700 I 70 DR SE STE 110
COLUMBIA, MO 65201
Boone County (888) 410-5230
DR. BLAKE MCGRATH
Chiropractor
3700 I 70 DR SE STE 110
COLUMBIA, MO 65201
Boone County (573) 443-1414
BRANDON LEHR D.C.
Chiropractor
3700 I 70 DR SE STE 110
COLUMBIA, MO 65201
Boone County (573) 443-1414

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 3700 I 70 Dr SE Ste 110, 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.

Which organizations bill Medicare for Moses Tabe Ambilichu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Moses Tabe Ambilichu reassigns Medicare benefits to 6 organizations: Success Health System, LLC (Columbia, MO), Shawnee Mission Medical Center Inc (Merriam, KS), Nevada City Hospital (Nevada, MO), Chestnut Health Systems Inc (Bloomington, IL), Mayo Clinic Health System-Northwest Wisconsin Region, Inc. (Osseo, WI) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Moses Tabe Ambilichu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Moses Tabe Ambilichu accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 11 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 October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 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.