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KESHIA ENAW EBOB-TABE MD
NPI 1417651753
Family Medicine in Youngstown, OH

Active since March 29, 2023PECOS Enrolled
2031 BELMONT AVE, YOUNGSTOWN, OH 44505(330) 480-3605(330) 480-2948 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Keshia Enaw Ebob-tabe Md NPPES

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

KESHIA ENAW EBOB-TABE MD (NPI 1417651753) is an individual family medicine provider in Youngstown, Ohio, licensed in Ohio (57.255246) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Youngstown Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1417651753
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKESHIA ENAW EBOB-TABECredential: MD
Location Address2031 BELMONT AVEYoungstown, OH 44505-2401
Mailing Address2031 Belmont AveYoungstown, OH 44505-2401 · (330) 480-3605 · Fax (330) 480-2948
Phone(330) 480-3605
Fax(330) 480-2948
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 29, 2023
Last NPPES UpdateJune 28, 2023
NPPES CertifiedJune 28, 2023
✔ NPI 1417651753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 57.255246
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2031 BELMONT AVE, Youngstown, OH 44505
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keshia Enaw Ebob-tabe Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002276854
PECOS Enrollment IDI20260723004695
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 Keshia Enaw Ebob-tabe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Adams County Regional Medical Center
217 mi
Nurse Anesthetist, Certified Registered
230 MEDICAL CENTER DR
Seaman, OH 45679
  • Reassigned Medicare billing, Ohio enrollment
  • 42 clinicians in this Medicare group
NPI 1003464454 (937) 386-3400

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

Hospital Affiliations CMS Care Compare

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

St Elizabeth Youngstown Hospital

Acute Care Hospitals · Youngstown, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360064
Location1044 Belmont AvenueYoungstown, OH 44501 · Mahoning County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44505 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

LUCILE CLAUDE STEPHANE CHAMBILY MD
Student in an Organized Health Care Education/Training Program
2031 BELMONT AVE
YOUNGSTOWN, OH 44505
Mahoning County (330) 480-3605
BRIANNA ROSE O'HARA MD
Family Medicine
2031 BELMONT AVE
YOUNGSTOWN, OH 44505
Mahoning County (330) 480-3605
DR. PETER JAMES CALLA O.D.
Optometrist
2031 BELMONT AVE, V.A. OUTPATIENT CLINIC
YOUNGSTOWN, OH 44505
Mahoning County (330) 740-9200
MINDY BRUMLEY
Nurse Practitioner (Psychiatric/Mental Health)
2031 BELMONT AVE
YOUNGSTOWN, OH 44505
Mahoning County (330) 480-3605
DR. THOMAS JOHN MAKO PH.D.
Psychologist (Counseling)
2031 BELMONT AVE, VA OUTPATIENT CLINIC
YOUNGSTOWN, OH 44505
Mahoning County (330) 740-9200
MR. ADITYA RAI MD
Family Medicine
2031 BELMONT AVE
YOUNGSTOWN, OH 44505
Mahoning County (330) 480-3605
MALA SALATA R.N.
Registered Nurse (Ambulatory Care)
2031 BELMONT AVE
YOUNGSTOWN, OH 44505
Mahoning County (330) 740-9200
ANTONIA BOGYI M.D.
Psychiatry & Neurology (Psychiatry)
2031 BELMONT AVE
YOUNGSTOWN, OH 44505
Mahoning County (330) 740-9200

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 Keshia Enaw Ebob-tabe's NPI number?

The NPI number for Keshia Enaw Ebob-tabe is 1417651753. It was assigned to this individual provider in the NPPES registry on March 29, 2023.

Where is Keshia Enaw Ebob-tabe located?

Keshia Enaw Ebob-tabe practices at 2031 Belmont Ave, Youngstown, OH 44505. The listed phone number is (330) 480-3605.

What is Keshia Enaw Ebob-tabe's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Keshia Enaw Ebob-tabe enrolled in Medicare?

Yes. Keshia Enaw Ebob-tabe is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Keshia Enaw Ebob-tabe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keshia Enaw Ebob-tabe reassigns Medicare benefits to Adams County Regional Medical Center (Seaman, OH). 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 Keshia Enaw Ebob-tabe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keshia Enaw Ebob-tabe accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Keshia Enaw Ebob-tabe 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 Keshia Enaw Ebob-tabe affiliated with any hospitals?

According to CMS data, Keshia Enaw Ebob-tabe is affiliated with St Elizabeth Youngstown Hospital.

When was this NPI record last updated?

The NPPES record for Keshia Enaw Ebob-tabe was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.