Kevin Taheri, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

Q5106 Issued in TX

Practice address

1401 Medical Pkwy Ste 407
Cedar Park, TX 78613-5015

Phone

(512) 879-1461

Fax

(512) 879-1462

NPI assigned

Apr 26, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Otolaryngology

Education

University of Texas Medical School at Houston, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Breathe ENTGroup PAC ID 8123418001, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Seton Cedar Park Hospital, Cedar Park, TX, CCN 670043
• Ascension Seton Williamson Hospital, Round Rock, TX, CCN 670041
• Round Rock Medical Center Hospital, Round Rock, TX, CCN 450718

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Breathe ENT

  • Otolaryngology Physician
  • Cedar Park, TX
  • NPI 1114681814
  Medicare reassignment Care Compare group NPD
• Noble Anesthesia Partners, PLLC

  • Anesthesiology Physician
  • Irving, TX
  • NPI 1619259553
  NPD (past)

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

• Ascension Seton

  • General Acute Care Hospital
  • Round Rock, TX
  • NPI 1578780870
  Care Compare affiliation
• Cedar Park Health System LLC

  • General Acute Care Hospital
  • Cedar Park, TX
  • NPI 1376662296
  Care Compare affiliation
• St Davids Healthcare Partnership LP LLP

  • General Acute Care Hospital
  • Round Rock, TX
  • NPI 1649223645
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1174840565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MEDICAL PKWY STE 407",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786135015",
            "telephone_number": "512-879-1461",
            "fax_number": "512-879-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MEDICAL PKWY STE 407",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786135015",
            "telephone_number": "512-879-1461",
            "fax_number": "512-879-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHERI",
        "first_name": "KEVIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-26",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "Q5106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE LICENSE",
            "identifier": "Q5106",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Stephanie Marian Tabone, CNP-FNP
• Ashley Shizuko Taketa, RD
• Abigail Tallent
• Erica Leeann Tally, OTR
• Alexis Tanaka, LMSW
• Abram Howard Tanner, D.D.S

• Otolaryngology Physician in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Otolaryngology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.

Verify at the official NPI Registry.