Individual provider Active NPI

Morteza Tavakol, M.D.

  • Cardiovascular Disease Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1043476807
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME114767 Issued in FL
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

Updated by the provider on Sep 18, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130716000163 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9830243682 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jupiter Medical Center Physicians Group IncGroup PAC ID 4284797069, 151 clinicians
Impression Imaging LLCGroup PAC ID 1759547979, 34 clinicians

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 Hospital, Jupiter, FL, CCN 100253
  • Palm Beach Gardens Medical Center Hospital, Palm Beach Gardens, FL, CCN 100176
  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME114767FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Florida, Inc Current Accepting new patients
Inpatient Consultants of Florida Inc CurrentSince Sep 1, 2014 Accepting new patients
Jupiter Medical Center Physicians Group Inc CurrentSince Oct 15, 2023 Accepting new patients
Palm Beach Cardiology Center Inc Cardiovascular Disease CurrentSince Jul 15, 2013 Accepting new patients
Impression Imaging LLC CurrentSince Apr 1, 2022 Accepting new patients
Jupiter Medical Center Physicians Group Inc Cardiovascular Disease CurrentSince Oct 15, 2023 Accepting new patients
Allergy and Asthma Care of the Palm Beaches, PA PastSince Jul 15, 2013 Accepting new patients
Impression Imaging LLC PastSince Feb 27, 2022 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

  • Direct secure messaging: mtavakol20984@jupitermedicalcenter.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/5866/brand/1/csg/1/fhir/r4
  • FHIR API: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.