NICHOLAS M TABOR DPM NPI 1255327441

NPI Information

  • NPI: 1255327441
  • Provider Name: NICHOLAS M TABOR, DPM
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 226 MARQUETTE ST
    LA SALLE, IL
    ZIP 61301
  • Phone: (815) 224-3535

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NPI Details

Nicholas M Tabor, DPM is a podiatrist in La Salle, IL with 39 years of experience. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. Nicholas M Tabor, DPM NPI is 1255327441. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Graduation Year:1987

The provider's business location address is:

226 MARQUETTE ST
LA SALLE, IL
ZIP 61301-415
Phone: (815) 224-3535
Fax: (815) 224-5750

The NPI 1255327441 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Trimming of dystrophic nails, any number (HCPCS:G0127)
  • Removal of fingernails or toenails, 1-5 nails (HCPCS:11720)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • X-ray of foot, 2 views (HCPCS:73620)
  • Removal of tissue from wound, 20.0 sq cm or less (HCPCS:97597)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Placement of strapping to ankle or foot (HCPCS:29540)
  • Permanent removal fingernail or toenail (HCPCS:11750)

The enumeration date for this NPI number is 9/22/2005 and was last updated on 3/21/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist016004144ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11296560002MEDICARE NSCILLINOIS
2781591MEDICARE PINILLINOIS
3T39032MEDICARE UPINILLINOIS
41296560001MEDICARE NSCILLINOIS
5781590MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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