Individual provider Active NPI

Farees Ricky Tavangari, M.D.

  • Surgery Physician
  • Miami, FL
National Provider Identifier
1194160168
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME141205 Issued in FL
Practice address
7800 SW 87TH Ave Ste B210
Miami, FL 33173-2537
Phone
(305) 271-9777
NPI assigned
May 5, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X ME141205 FL Primary

Addresses

Primary practice location

7800 SW 87TH Ave Ste B210
Miami, FL 33173-2537

Mailing address

PO Box 198054
Atlanta, GA 30384-8054
Phone (305) 271-9777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20211115001889 CA Practitioner - Other (Physician)Practitioner - General Surgery 7517276058 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Undefined Physician Type (Specify)Also: General Surgery
Education
Oregon Health Sciences University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Kamran Parsa IncGroup PAC ID 4880909308, 22 clinicians
Emery L Chen MD a Medical CorporationGroup PAC ID 1759527419, 2 clinicians

Practice addresses (Care Compare)

1120 W Ave
M4
Palmdale, CA 93551-1432
Phone 6614802377207

38920 Trade Ctr Dr
Palmdale, CA 93551-3715
Phone (661) 488-7048

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue360
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Surgery Medical Group Surgery CurrentSince Oct 1, 2021 Accepting new patients
Dr Kamran Parsa Inc Current Accepting new patients
Rafael Lemus-Rangel MD a Medical Corporation Surgery CurrentSince Oct 29, 2021 Accepting new patients
Emery L. Chen, M.D., a Medical Corporation CurrentSince Nov 6, 2021 Accepting new patients

Locations

1120 W Avenue M4
Palmdale, CA 93551
Phone (661) 480-2377

38920 Trade Center Dr
Palmdale, CA 93551
Phone (661) 382-0221

38420 5th St W
Ste E
Palmdale, CA 93551
Phone (661) 480-2377

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HAIAED/Endpoint/HAIAED
  • Direct secure messaging: far07386@cerner.directbaptisthealth.com

Organizations & group practices 4

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": "1367712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1194160168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198054",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303848054",
            "telephone_number": "305-271-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 SW 87TH AVE STE B210",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732537",
            "telephone_number": "305-271-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVANGARI",
        "first_name": "FAREES",
        "middle_name": "RICKY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-05",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME141205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.