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KAYLA MARIKO TABOR MD
NPI 1689136236
Obstetrics & Gynecology in Latham, NY

Active since April 03, 2019PECOS EnrolledAccepts Medicare Assignment
80.06/100
CMS Quality Rating
6 WELLNESS WAY STE 108, LATHAM, NY 12110(518) 370-7937(518) 377-2983 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 23, 2023, Apr 3, 2019 (2 updates tracked since 2019).

About Kayla Mariko Tabor Md NPPES

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

KAYLA MARIKO TABOR MD (NPI 1689136236) is an individual obstetrics & gynecology provider in Latham, New York, licensed in New York (324322) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Ellis Hospital, and is a graduate of Tulane University School Of Medicine (2019).

NPPES Registry Identity

NPI1689136236
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKAYLA MARIKO TABORCredential: MD
Location Address6 WELLNESS WAY STE 108Latham, NY 12110-2156
Mailing Address6 Wellness Way Ste 201Latham, NY 12110-2156 · (518) 782-3700 · Fax (518) 782-3799
Phone(518) 370-7937
Fax(518) 377-2983
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 2019
Enumeration DateApril 3, 2019
Last NPPES UpdateFebruary 14, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2024
✔ NPI 1689136236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NY · 324322
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6 WELLNESS WAY STE 108, Latham, NY 12110
Open in Google Maps ↗

Other Names 1

Former Name (1)Kaylor Mariko Hudson

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

Kayla Mariko Tabor Md 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 ID5597007708
PECOS Enrollment IDI20231004002095
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

5

Medicare enrollment records show Kayla Tabor reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Care Physicians, PLLC
0.2 mi
Internal Medicine
6 WELLNESS WAY STE 201
Latham, NY 12110
  • Reassigned Medicare billing, New York enrollment
  • 474 clinicians in this Medicare group
NPI 1922048370 (518) 782-3700
St. Peter's Health Partners Medical Associates, P.C.
2.7 mi
Obstetrics & Gynecology
31 LOWER HUDSON AVENUE, ST PETER'S GYNCEOLOGY
Green Island, NY 12183
  • Reassigned Medicare billing, New York enrollment
  • 742 clinicians in this Medicare group
NPI 1427394675 (518) 272-9140
St. Peters Hospital Of The City Of Albany
6.9 mi
General Acute Care Hospital
1 PINE WEST PLAZA, SLEEP THERAPY EQUIPMENT
Albany, NY 12205
  • Reassigned Medicare billing, New York enrollment
  • 623 clinicians in this Medicare group
NPI 1689749640 (518) 275-4090
Obgyn Hospitalist Medical Services Of New York, P.C.
7.5 mi
Obstetrics & Gynecology
2210 TROY SCHENECTADY RD, BELLEVUE WOMAN'S CARE CENTER
Niskayuna, NY 12309
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Obgyn Hospitalist Medical Services Of New York PC
  • 125 clinicians in this Medicare group
NPI 1518285055 (800) 967-2289
Ellis Hospital
10.0 mi
General Acute Care Hospital
1101 NOTT ST
Schenectady, NY 12308
  • Reassigned Medicare billing, New York enrollment
  • 462 clinicians in this Medicare group
NPI 1487644993 (518) 243-4000

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.

Ellis Hospital

Acute Care Hospitals · Schenectady, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330153
Location1101 Nott StreetSchenectady, NY 12308 · Schenectady County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12110 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.13
Improvement Activities40
Cost60.81

Other Providers at the Same Location NPPES 9

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

MS. JENNIFER LYNN IOVINELLI FNP
Nurse Practitioner (Family)
6 WELLNESS WAY STE 108
LATHAM, NY 12110
Albany County (518) 370-7937
ALEXANDRA BURKE MD
Obstetrics & Gynecology
6 WELLNESS WAY STE 108
LATHAM, NY 12110
Albany County (518) 370-7937
AMANDA L WHEELER FNP-BC
Nurse Practitioner (Family)
6 WELLNESS WAY STE 108
LATHAM, NY 12110
Albany County (518) 370-7937
DANIELLE MARIE ROONEY M.D.
Obstetrics & Gynecology (Obstetrics)
6 WELLNESS WAY STE 108
LATHAM, NY 12110
Albany County (518) 370-7937
OLIVIA LAUREN BRANSKY FNP-C
Nurse Practitioner (Family)
6 WELLNESS WAY STE 108
LATHAM, NY 12110
Albany County (518) 370-7937
COMMUNITY CARE PHYSICIANS, PC
Obstetrics & Gynecology
6 WELLNESS WAY STE 108
LATHAM, NY 12110
Albany County (518) 370-7937
MADISON DONNELLY PA-C
Physician Assistant
6 WELLNESS WAY STE 108
LATHAM, NY 12110
Albany County (518) 370-7937
ABIGAIL R RAUF CNM
Advanced Practice Midwife
6 WELLNESS WAY STE 108
LATHAM, NY 12110
Albany County (518) 370-7937

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 Kayla Tabor's NPI number?

The NPI number for Kayla Tabor is 1689136236. It was assigned to this individual provider in the NPPES registry on April 3, 2019. The provider is also known as Kaylor Mariko Hudson.

Where is Kayla Tabor located?

Kayla Tabor practices at 6 Wellness Way Ste 108, Latham, NY 12110. The listed phone number is (518) 370-7937.

What is Kayla Tabor's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kayla Tabor enrolled in Medicare?

Yes. Kayla 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 organizations bill Medicare for Kayla Tabor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kayla Tabor reassigns Medicare benefits to 5 organizations: Community Care Physicians, PLLC (Latham, NY), St. Peter's Health Partners Medical Associates, P.C. (Green Island, NY), St. Peters Hospital Of The City Of Albany (Albany, NY), Obgyn Hospitalist Medical Services Of New York, P.C. (Niskayuna, NY) and Ellis Hospital (Schenectady, NY). 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 Kayla Tabor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kayla Tabor affiliated with any hospitals?

According to CMS data, Kayla Tabor is affiliated with Ellis Hospital.

When was this NPI record last updated?

The NPPES record for Kayla Tabor was last updated on February 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.