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: July 19, 2026.

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

  • Individual
  • Female
  • Pediatrics
  • Neonatal-Perinatal Medicine
  • Accepts Insurance
  • PECOS Enrolled

About TABITHA TATE

This page provides the complete NPI Profile along with additional information for Tabitha Tate, a pediatrician established in Minneapolis, Minnesota with a medical specialization in Pediatrics, focusing in neonatal-perinatal medicine . The healthcare provider is registered in the NPI registry with number 1538621982 assigned on April 2019. The practitioner's primary taxonomy code is 2080N0001X with license number 71593 (MN). The provider is registered as an individual and her NPI record was last updated January 2026.

NPI
1538621982 Verify this NPI
Provider Name
TABITHA MARIE TATE
Gender
Female
Entity Type
Individual
Location Address
2450 RIVERSIDE AVE # AO-401 MINNEAPOLIS, MN 55454
Location Phone
(612) 626-2958
Mailing Address
2450 RIVERSIDE AVE # AO-401 MINNEAPOLIS, MN 55454
Mailing Phone
(608) 417-0140
Is Sole Proprietor?
No
Enumeration Date
04-04-2019
Last Update Date
01-30-2026
Code Navigator

A pediatrician like Tabitha Tate is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Neonatal-Perinatal Medicine

Taxonomy Code
2080N0001X
Type
Allopathic & Osteopathic Physicians
License No.
71593
License State
MN
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208000000XAllopathic & Osteopathic Physicians

Pediatrics

71593 (MN)
2208000000XAllopathic & Osteopathic Physicians

Pediatrics

125074103 (IL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze HSA - EPO
  • Medica Individual Choice Bronze Share - EPO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - EPO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - EPO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - EPO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - EPO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - EPO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - EPO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - EPO
  • Medica Individual Choice Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Tabitha Tate is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for TABITHA MARIE TATE

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Pediatrics
2450 RIVERSIDE AVE # AO-401
MINNEAPOLIS, MN 55454
Pediatrics (Neonatal-Perinatal Medicine)
2450 RIVERSIDE AVE # AO-401
MINNEAPOLIS, MN 55454
Physician Assistant
2450 RIVERSIDE AVE # AO-401
MINNEAPOLIS, MN 55454

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538621982, enumerated as an "individual" on April 04, 2019.

The provider is located at 2450 RIVERSIDE AVE # AO-401 MINNEAPOLIS, MN 55454 and the phone number is (612) 626-2958.

Pediatrics with taxonomy code 2080N0001X and a focus in Neonatal-Perinatal Medicine.

The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.