Individual provider Active NPI

Edwin Tavarez, M.D.

  • Anesthesiology Physician
  • New Hyde Park, NY
National Provider Identifier
1295732386
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
197410 Issued in NY
Practice address
27005 76TH Ave
New Hyde Park, NY 11040-1433
Phone
(718) 470-7390
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 197410 NY Primary

Addresses

Primary practice location

27005 76TH Ave
New Hyde Park, NY 11040-1433

Mailing address

66 Powerhouse Rd
3Rd Floor
Roslyn Heights, NY 11577-1324
Phone (516) 626-6366

Other identifiers 1

IdentifierTypeStateIssuer
02587433MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040714001611 NY Practitioner - Anesthesiology 9436137031 Reassigns benefits to 7 organizations
I20230908000139 CT Practitioner - Anesthesiology 9436137031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
U of R Anesthesiology GroupGroup PAC ID 3476451105, 340 clinicians
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

1000 S Ave
Rochester, NY 14620-2733
Phone (585) 473-2200

530 1St Ave
New York, NY 10016-6402

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-6037

Hospital & facility affiliations

  • Highland Hospital Hospital, Rochester, NY, CCN 330164

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K4284TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Dec 10, 2022 Accepting new patients
Albany Medical College CurrentSince Jul 14, 2025 Accepting new patients
Montefiore Medical Center Anesthesiology CurrentSince Nov 5, 2012 Accepting new patients
North Shore - Lij Anesthesiology, PC Anesthesiology CurrentSince Sep 21, 2021 Accepting new patients
Greater Connecticut Anesthesia Associates, LLC Anesthesiology CurrentSince Sep 20, 2023 Accepting new patients
New York University Anesthesiology CurrentSince Dec 10, 2022 Accepting new patients
Albany Medical College Anesthesiology CurrentSince Jul 14, 2025 Accepting new patients
New York University Anesthesiology Current Accepting new patients
Singular Anesthesia Services, PLLC Anesthesiology CurrentSince Dec 1, 2022 Accepting new patients
Montefiore Medical Center CurrentSince Nov 5, 2012 Accepting new patients
U of R Anesthesiology Group Anesthesiology CurrentSince Dec 15, 2025 Accepting new patients
New York Gi Center LLC CurrentSince Apr 2, 2024 Accepting new patients
University Physicians of Brooklyn, Inc Anesthesiology Past Accepting new patients
Allied Anesthesia Associates, LLP Anesthesiology Past Accepting new patients
North American Partners in Pain Management LLP PastSince Feb 18, 2014 Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology Past Accepting new patients
New England Anesthesia Associates, LLC Anesthesiology PastSince Feb 21, 2021 Accepting new patients
Bronx Anesthesia Services, PC Anesthesiology Past Accepting new patients
Allied Anesthesia & Pain Management Consultants, LLP Anesthesiology PastSince Jan 27, 2025 Accepting new patients

Locations (25 of 33)

425 Post Rd
Fairfield, CT 06824
Phone (203) 255-4545

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

1200 Waters Pl
Ste M117
Bronx, NY 10461
Phone (718) 863-0575

4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917

1250 Waters Pl
Ste 1206
Bronx, NY 10461

111 E 210th St
Bronx, NY 10467

3219 E Tremont Ave
Bronx, NY 10461
Phone (718) 792-7625

1 Pondfield Rd W
Ste 2
Bronxville, NY 10708
Phone (914) 472-4610

55 Palmer Ave
Bronxville, NY 10708
Phone (914) 787-3136

21 Laurel Ave
Ste 120
Cornwall, NY 12518
Phone (845) 458-7800

1980 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 734-3600

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

141 S Central Ave
Ste 301
Hartsdale, NY 10530
Phone (914) 713-3228

234 N Central Ave
Hartsdale, NY 10530
Phone (914) 529-0027

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

33 Grand St
Kingston, NY 12401
Phone (845) 338-1535

117 Marys Ave
Ste 201
Kingston, NY 12401
Phone (845) 331-8146

26 Pearl St
Kingston, NY 12401
Phone (845) 331-8222

1110 State Route 55
Ste 107
Lagrangeville, NY 12540
Phone (845) 320-5262

1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705

530 1st Ave
New York, NY 10016
Phone (212) 263-7216

27005 76th Ave
North New Hyde Pk, NY 11040

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

150 S Pearl St
Pearl River, NY 10965
Phone (845) 623-6141

22 Green St
Poughkeepsie, NY 12601
Phone (845) 471-3720

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: etavarez3481151@nychhc.direct-ci.com
  • Direct secure messaging: etavarez528073@nyumc.direct-ci.com
  • Direct secure messaging: etavarez@montefioredirect.com

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 1

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": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295732386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 POWERHOUSE RD",
            "address_2": "3RD FLOOR",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771324",
            "telephone_number": "516-626-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27005 76TH AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401433",
            "telephone_number": "718-470-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVAREZ",
        "first_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "197410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02587433",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.