Active NPI
Morteza Tavakol, M.D.
- Cardiovascular Disease Physician
- Palm Beach Gardens, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME114767
- Practice address
- 3365 Burns Rd
Suite 101
Palm Beach Gardens, FL 33410-4302 - Phone
- (561) 775-1061
- Fax
- (561) 775-1064
- NPI assigned
- Jul 31, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ME114767 | FL | Primary |
Addresses
Primary practice location
3365 Burns Rd
Suite 101
Palm Beach Gardens, FL 33410-4302
Mailing address
3365 Burns Rd
Suite 101
Palm Beach Gardens, FL 33410-4302
Phone (561) 775-1061
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1002 S Old Dixie Hwy
Jupiter, FL 33458-7202
1210 S Old Dixie Hwy
Jupiter, FL 33458-7205
1210S Old Dixie Hwy
Jupiter, FL 33458-7205
Phone (561) 747-2234
1240 S Old Dixie Hwy
Jupiter, FL 33458-7205
Phone (561) 263-4400
3111 N University Dr
Suite 115
Coral Springs, FL 33065-5049
Phone (954) 580-2780
3250 Pga Blvd
Palm Beach Gardens, FL 33410-2850
Phone (561) 263-7045
3360 Burns Rd
Palm Beach Gardens, FL 33410-4323
Phone (561) 622-1411
3401 Pga Blvd
Suite 320
Palm Beach Gardens, FL 33410-2824
Phone (561) 741-5620
6853 SW 18TH St
Suite 101
Boca Raton, FL 33433-7056
Phone (561) 473-4610
7180 N University Dr
Tamarac, FL 33321-2916
Phone (954) 580-2780
Hospital & facility affiliations
- Jupiter Medical Center
- Palm Beach Gardens Medical Center
- Cleveland Clinic Martin North Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME114767 | FL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Consultants of Florida, Inc | Current | Accepting new patients | |
| Inpatient Consultants of Florida Inc | Current | Accepting new patients | |
| Jupiter Medical Center Physicians Group Inc | Current | Accepting new patients | |
| Palm Beach Cardiology Center Inc | Cardiovascular Disease | Current | Accepting new patients |
| Impression Imaging LLC | Current | Accepting new patients | |
| Jupiter Medical Center Physicians Group Inc | Cardiovascular Disease | Current | Accepting new patients |
| Allergy and Asthma Care of the Palm Beaches, PA | Past | Accepting new patients | |
| Impression Imaging LLC | Past | Accepting new patients |
Locations
6853 SW 18th St
Ste M101
Boca Raton, FL 33433
Phone (561) 473-4610
9981 S Healthpark Dr
Fort Myers, FL 33908
Phone (239) 332-5344
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
1002 S Old Dixie Hwy
Ste 203
Jupiter, FL 33458
Phone (561) 741-5695
1002 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 741-5695
1240 S Old Dixie Hwy
Fl 2
Jupiter, FL 33458
Phone (561) 263-4400
2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
3365 Burns Rd
Ste 101
Palm Beach Gardens, FL 33410
Phone (561) 627-4767
3250 Pga Blvd
#2
Palm Beach Gardens, FL 33410
3250 Pga Blvd
Palm Beach Gardens, FL 33410
Phone (561) 263-5775
6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411
2854 SE Federal Hwy
Stuart, FL 34994
Phone (772) 223-0953
7180 N University Dr
Tamarac, FL 33321
Phone (954) 580-2780
3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222
3401 Pga Blvd
Ste 320
West Palm Bch, FL 33410
Phone (561) 626-3385
625 N Flagler Dr
Ste 100
West Palm Beach, FL 33401
Phone (561) 263-7010
Interoperability endpoints
- mtavakol20984@jupitermedicalcenter.direct-ci.com
- https://api.platform.athenahealth.com/5866/brand/1/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/BIIGBA
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Tamarac, FL
- NPI 1780941864
-
- Cardiovascular Disease Physician
- Jupiter, FL
- NPI 1396992475
-
- Internal Medicine Physician
- Orange Park, FL
- NPI 1396795597
-
- Cardiovascular Disease Physician
- Palm Beach Gardens, FL
- NPI 1598707937
-
- Hospitalist Physician
- Tampa, FL
- NPI 1457511164
-
- Pediatric Surgery Physician
- Jupiter, FL
- NPI 1093344376
-
- Allergy Physician
- Jupiter, FL
- NPI 1093864670
-
- Diagnostic Radiology Physician
- Boca Raton, FL
- NPI 1528714714
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jupiter, FL
- NPI 1295721090
-
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
-
- General Acute Care Hospital
- Palm Beach Gardens, FL
- NPI 1144251216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379462400000",
"number": "1043476807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3365 BURNS RD",
"address_2": "SUITE 101",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334104302",
"telephone_number": "561-775-1061",
"fax_number": "561-775-1064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3365 BURNS RD",
"address_2": "SUITE 101",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334104302",
"telephone_number": "561-775-1061",
"fax_number": "561-775-1064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAVAKOL",
"first_name": "MORTEZA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-31",
"last_updated": "2013-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME114767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.