1. Home
  2. Directory
  3. Minnesota
  4. Minneapolis
  5. Pediatrics
  6. NPI Profile

TABITHA MARIE TATE
NPI 1538621982
Pediatrics - Neonatal-Perinatal Medicine in Minneapolis, MN

Active since April 04, 2019PECOS Enrolled
2450 RIVERSIDE AVE # AO-401, MINNEAPOLIS, MN 55454(612) 626-2958 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 30, 2026, Jun 7, 2025, Aug 28, 2022 and 2 more (5 updates tracked since 2019).

About Tabitha Marie Tate NPPES

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

TABITHA MARIE TATE (NPI 1538621982) is an individual neonatal-perinatal medicine provider in Minneapolis, Minnesota, licensed in Minnesota (71593) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538621982
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameTABITHA MARIE TATE
Location Address2450 RIVERSIDE AVE # AO-401Minneapolis, MN 55454-1450
Mailing Address2450 Riverside Ave # Ao-401Minneapolis, MN 55454-1450 · (608) 417-0140
Phone(612) 626-2958
Sole ProprietorNo
Enumeration DateApril 4, 2019
Last NPPES UpdateJanuary 30, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2026
✔ NPI 1538621982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in MN · 71593
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License 71593 (MN), 125074103 (IL)
2450 RIVERSIDE AVE # AO-401, Minneapolis, MN 55454
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tabitha Marie Tate 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.

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.

DR. BENJAMIN AL-HADDAD MD, MSC, PHD
Pediatrics (Neonatal-Perinatal Medicine)
2450 RIVERSIDE AVE # AO-401
MINNEAPOLIS, MN 55454
Hennepin County (612) 626-0644
ERICK E JIMENEZ GRANADOS M.D.
Pediatrics
2450 RIVERSIDE AVE # AO-401
MINNEAPOLIS, MN 55454
Hennepin County (612) 626-2755
NATALIE ELIZABETH DOCKENDORF PA C
Physician Assistant
2450 RIVERSIDE AVE # AO-401
MINNEAPOLIS, MN 55454
Hennepin County (612) 626-0644

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 Tabitha Tate's NPI number?

The NPI number for Tabitha Tate is 1538621982. It was assigned to this individual provider in the NPPES registry on April 4, 2019.

Where is Tabitha Tate located?

Tabitha Tate practices at 2450 Riverside Ave # Ao-401, Minneapolis, MN 55454. The listed phone number is (612) 626-2958.

What is Tabitha Tate's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Tabitha Tate enrolled in Medicare?

Yes. Tabitha Tate is registered in the Medicare PECOS enrollment system.

What insurance does Tabitha Tate accept?

Health plans from Medica list Tabitha Tate 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 Tabitha Tate was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.