Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Moses Tabe Ambilichu, MD

Individual provider Psychiatry Physician · NPI 1073774238

Dr. Moses Tabe Ambilichu, MD is a Psychiatry in Columbia, Missouri. Qualified in 2002, 24 years ago. Practices with Success Health System LLC, a 7-clinician group, works from 8 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia, Kansas, Missouri and Texas and 1 more.

Years since qualifying
24
Licensed in
GA, KS, MO, TX, WA
In the registry since
2008
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3600 Interstate 70 Dr SE Ste C
Columbia, MO 65201-6583
Phone: (888) 410-5230
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (7)

  • 3400 Chapel Hill Rd, Douglasville, GA 30135-1739 — (888) 410-5230
  • 3400 Chapel Hill Rd, Douglasville, GA 30135-1739 — (888) 410-5230
  • 11695 S Blackbob Rd, Olathe, KS 66062-1058 — (888) 410-5230
  • 12401 Olive Blvd Ste 206, Creve Coeur, MO 63141-5448
  • 4429 S River Blvd Ste D, Independence, MO 64055-4659 — (888) 410-5230
  • 2010 S Buckner Blvd, Dallas, TX 75217-1804 — (888) 410-5230
  • 2805 E 19th St, Vancouver, WA 98661-4614 — (888) 410-5230

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 2011019835 (MO)
Psychiatry Physician Taxonomy 2084P0800X · Licence IMLC.MD.61663049 (WA)
Psychiatry Physician Taxonomy 2084P0800X · Licence 94029 (GA)
Psychiatry Physician Taxonomy 2084P0800X · Licence U0278 (TX)
Psychiatry Physician Taxonomy 2084P0800X · Licence 04-39077 (KS)

Record details

NPI number1073774238
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 20, 2008
Last updated in NPPESApril 24, 2026
Certification dateApril 24, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Success Health System Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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