DR. CYRIL ETTA TABE MD NPI 1558457135

NPI Information

  • NPI: 1558457135
  • Provider Name: DR. CYRIL ETTA TABE, MD
  • Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 101 3RD AVE SW
    MINOT, ND
    ZIP 58701
  • Phone: (701) 857-3655

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NPI Details

DR. Cyril Etta Tabe, MD is a thoracic surgery cardiothoracic vascular surgery in Minot, ND. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. DR. Cyril Etta Tabe, MD NPI is 1558457135. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

101 3RD AVE SW
MINOT, ND
ZIP 58701-880
Phone: (701) 857-3655
Fax: (701) 857-3656

The NPI 1558457135 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), Power Mobility Devices.

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.

  • Coronary artery bypass graft (CABG) (HCPCS:NAN07)

The enumeration date for this NPI number is 10/4/2006 and was last updated on 1/27/2023.

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
1208600000XSurgeryMD2009-0696NEW MEXICONo
2208600000XSurgery10459NORTH DAKOTANo
3208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)01089362AINDIANANo
4208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)282203NEW YORKNo
5208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)MD2009-0696NEW MEXICONo
6208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)C145282CALIFORNIANo
7208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)10459NORTH DAKOTAYes

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
118307230MEDICAIDNEW MEXICO
214089MEDICAIDNORTH DAKOTA

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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