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EDUARDO TABOR
NPI 1225440704
Counselor - Mental Health in Indianapolis, IN

Active since June 02, 2014PECOS EnrolledAccepts Medicare Assignment
902 VIRGINIA AVE, INDIANAPOLIS, IN 46203(317) 974-0256(317) 974-0265 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Eduardo Tabor NPPES

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

EDUARDO TABOR (NPI 1225440704) is an individual mental health provider in Indianapolis, Indiana, licensed in Indiana (39002519A) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Indianapolis, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1225440704
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameEDUARDO TABOR
Location Address902 VIRGINIA AVEIndianapolis, IN 46203-1706
Mailing AddressPo Box 637764Cincinnati, OH 45263-7764 · (317) 880-3939
Phone(317) 974-0256
Fax(317) 974-0265
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 2, 2014
Last NPPES UpdateSeptember 30, 2025
NPPES CertifiedSeptember 30, 2025
✔ NPI 1225440704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IN · 39002519A
902 VIRGINIA AVE, Indianapolis, IN 46203
Open in Google Maps ↗

Secondary Practice Location 1

Location 15610 Crawfordsville Rd Ste 2201Indianapolis, IN 46224-3784 · Phone (317) 244-2792 · Fax (317) 243-2328

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, 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

Eduardo Tabor 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 ID143671123
PECOS Enrollment IDI20240104001482
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 Reassignment

Medicare enrollment records show Eduardo Tabor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Health And Hospital Corporation Of Marion County
0.5 mi
Federally Qualified Health Center (FQHC)
1434 SHELBY ST
Indianapolis, IN 46203
  • Reassigned Medicare billing, Indiana enrollment
  • 564 clinicians in this Medicare group
NPI 1023357472 (317) 655-3200

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

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 Eduardo Tabor's NPI number?

The NPI number for Eduardo Tabor is 1225440704. It was assigned to this individual provider in the NPPES registry on June 2, 2014.

Where is Eduardo Tabor located?

Eduardo Tabor practices at 902 Virginia Ave, Indianapolis, IN 46203. The listed phone number is (317) 974-0256.

What is Eduardo Tabor's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Eduardo Tabor enrolled in Medicare?

Yes. Eduardo Tabor 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 organization bills Medicare for Eduardo Tabor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eduardo Tabor reassigns Medicare benefits to The Health And Hospital Corporation Of Marion County (Indianapolis, IN). The 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 Eduardo Tabor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eduardo Tabor accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Eduardo Tabor 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.

When was this NPI record last updated?

The NPPES record for Eduardo Tabor was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.