Active NPI
Farees Ricky Tavangari, M.D.
- Surgery Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME141205
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Undefined Physician Type (Specify)
- Education
- Oregon Health Sciences University School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 360 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Surgery Medical Group | Surgery | Current | Accepting new patients |
| Dr Kamran Parsa Inc | Current | Accepting new patients | |
| Rafael Lemus-Rangel MD a Medical Corporation | Surgery | Current | Accepting new patients |
| Emery L. Chen, M.D., a Medical Corporation | Current | 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
- https://fhir4.healow.com/fhir/r4/HAIAED/Endpoint/HAIAED
- 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.
-
- Neurological Surgery Physician
- Palmdale, CA
- NPI 1780066373
-
- Clinic/Center
- Lancaster, CA
- NPI 1710320429
-
- Surgery Physician
- Palmdale, CA
- NPI 1902456213
-
- Surgery Physician
- Lancaster, CA
- NPI 1487915120
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lancaster, CA
- NPI 1366419517
-
- General Acute Care Hospital
- Palmdale, CA
- NPI 1508856535
-
- Home Health Agency
- Glendale, CA
- NPI 1285637603
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.