Individual provider Active NPI

Paul Tavakolian, MD

  • Orthopaedic Hand Surgery Physician
  • Bedford, TX
National Provider Identifier
1114347408
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
R6117 Issued in TX
Practice address
2425 Highway 121
Bedford, TX 76021-5013
Phone
(817) 540-4477
Fax
(817) 540-5633
NPI assigned
Apr 24, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X R6117 TX
Orthopaedic Hand Surgery Physician 207XS0106X R6117 TX Primary

Addresses

Primary practice location

2425 Highway 121
Bedford, TX 76021-5013

Mailing address

2425 Highway 121
Bedford, TX 76021-5013
Phone (817) 510-4083

Other practice location 1

5201 Harry Hines Blvd
Graduate Medical Education
Dallas, TX 75235-7708
Phone (214) 590-8058

Other identifiers 1

IdentifierTypeStateIssuer
415295101MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20200818000136 TX Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 2961828249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
University of Texas Southwestern Medical School at Dallas, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Orthopedic Specialists, PLLCGroup PAC ID 0941191126, 18 clinicians

Practice addresses (Care Compare)

2425 Hwy 121
Bedford, TX 76021-5013
Phone (817) 540-4477

Hospital & facility affiliations

  • Amatus Health Care LLC Home health agency, Farmers Branch, TX, CCN 747682
  • Texas Health Harris Methodist Hospital Southlake Hospital, Southlake, TX, CCN 450888
  • Texas Health Harris Methodist Hurst-Euless-Bedford Hospital, Bedford, TX, CCN 450639

Merit-based Incentive Payment System (MIPS)

Final score
66.19 of 100Reported as group
Quality
83.43
Promoting interoperability
21
Improvement activities
40
Cost
69.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)74
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Orthopedic Specialists, PLLC Orthopaedic Surgery CurrentSince Aug 25, 2020 Accepting new patients
Texas Orthopedic Specialists, PLLC Orthopaedic Surgery CurrentSince Aug 25, 2020 Accepting new patients
Wide Awake Surgery PLLC Orthopaedic Surgery Past Accepting new patients

Locations

2425 Highway 121
Bedford, TX 76021
Phone (817) 510-4083

Interoperability endpoints

  • Direct secure messaging: ptavakolian1615722@direct.texashealth.org

Organizations & group practices 3

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": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1114347408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 HIGHWAY 121",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215013",
            "telephone_number": "817-510-4083",
            "fax_number": "817-540-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 HIGHWAY 121",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215013",
            "telephone_number": "817-540-4477",
            "fax_number": "817-540-5633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5201 Harry Hines Blvd",
            "address_2": "Graduate Medical Education",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752357708",
            "country_code": "US",
            "telephone_number": "214-590-8058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAVAKOLIAN",
        "first_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-24",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "R6117",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "TX",
            "license": "R6117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "415295101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.