Active NPI
Vahid Tavakoli, M.D.
- Cardiovascular Disease Physician
- Lima, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 35.139298
- Practice address
- 1003 Bellefontaine Ave Ste 200
Lima, OH 45804-1803 - Phone
- (419) 224-5915
- Fax
- (419) 224-5918
- NPI assigned
- Apr 14, 2014
- Last updated
- Sep 9, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 35.139298 | OH | Primary |
Addresses
Primary practice location
1003 Bellefontaine Ave Ste 200
Lima, OH 45804-1803
Mailing address
1001 Bellefontaine Ave
Lima, OH 45804-2800
Phone (419) 998-4575
Other practice location 1
800 Pro Dr
Celina, OH 45822-1360
Phone (419) 224-5915
Other practice location 2
140 Fox Rd Ste 103.5
Van Wert, OH 45891-2475
Phone (419) 224-5915
Other practice location 3
1211 E Columbus St
Kenton, OH 43326-1760
Phone (419) 224-5915
Other practice location 4
375 N Eastown Rd Ste C
Lima, OH 45807-2209
Phone (419) 224-5915
Other practice location 5
520 W Lincoln Ave Ste A
Ada, OH 45810-9466
Phone (419) 224-5915
Other practice location 6
915 Michigan St Ste 203
Sidney, OH 45365-2401
Phone (419) 224-5915
Other names 1
- Vahid Tavakoli
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1003 Bellefontaine Ave
Suite 200
Lima, OH 45804-1803
Phone (419) 227-7702
Hospital & facility affiliations
- Lima Memorial Health System
- Wilson Memorial Hospital
- Van Wert County Hospital
- Grand Lake Health System
- Mary Rutan Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.139298 | OH | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Professional Corporation | Current | Accepting new patients | |
| Lima Memorial Professional Corporation | Current | Accepting new patients | |
| Lima Memorial Professional Corporation | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
520 W Lincoln Ave
Ste A
Ada, OH 45810
Phone (419) 634-2015
800 Pro Dr
Celina, OH 45822
Phone (419) 586-4030
L3982
Columbus, OH 43260
1211 E Columbus St
Kenton, OH 43326
Phone (419) 675-0668
1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335
1003 Bellefontaine Ave
Ste 200
Lima, OH 45804
Phone (419) 224-5914
375 N Eastown Rd
Ste C
Lima, OH 45807
Phone (419) 222-6595
915 Michigan St
Ste 203
Sidney, OH 45365
Phone (937) 492-1190
Interoperability endpoints
- vahid.tavakoli@lmpc.eclinicaldirectplus.com
- vtavakoli868090@direct.osumc.edu
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Lima, OH
- NPI 1457474900
-
dba LMPC Specialists at Wapakoneta
- Family Medicine Physician
- Wapakoneta, OH
- NPI 1598719817
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
dba Lima Group Family Physicians
- Family Medicine Physician
- Lima, OH
- NPI 1114978244
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Marys, OH
- NPI 1639133002
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- General Acute Care Hospital
- Bellefontaine, OH
- NPI 1548254931
-
dba Wilson Health
- General Acute Care Hospital
- Sidney, OH
- NPI 1639174204
-
dba Van Wert Health
- General Acute Care Hospital
- Van Wert, OH
- NPI 1942267760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599609600000",
"number": "1386063816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 BELLEFONTAINE AVE",
"city": "LIMA",
"state": "OH",
"postal_code": "458042800",
"telephone_number": "419-998-4575",
"fax_number": "419-998-4586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 BELLEFONTAINE AVE STE 200",
"city": "LIMA",
"state": "OH",
"postal_code": "458041803",
"telephone_number": "419-224-5915",
"fax_number": "419-224-5918"
}
],
"practiceLocations": [
{
"address_1": "800 Pro Dr",
"address_purpose": "LOCATION",
"city": "Celina",
"state": "OH",
"postal_code": "458221360",
"country_code": "US",
"telephone_number": "419-224-5915",
"fax_number": "419-224-5918",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "140 Fox Rd Ste 103.5",
"address_purpose": "LOCATION",
"city": "Van Wert",
"state": "OH",
"postal_code": "458912475",
"country_code": "US",
"telephone_number": "419-224-5915",
"fax_number": "419-224-5918",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1211 E Columbus St",
"address_purpose": "LOCATION",
"city": "Kenton",
"state": "OH",
"postal_code": "433261760",
"country_code": "US",
"telephone_number": "419-224-5915",
"fax_number": "419-224-5918",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "375 N Eastown Rd Ste C",
"address_purpose": "LOCATION",
"city": "Lima",
"state": "OH",
"postal_code": "458072209",
"country_code": "US",
"telephone_number": "419-224-5915",
"fax_number": "419-224-5918",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "520 W Lincoln Ave Ste A",
"address_purpose": "LOCATION",
"city": "Ada",
"state": "OH",
"postal_code": "458109466",
"country_code": "US",
"telephone_number": "419-224-5915",
"fax_number": "419-224-5918",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "915 Michigan St Ste 203",
"address_purpose": "LOCATION",
"city": "Sidney",
"state": "OH",
"postal_code": "453652401",
"country_code": "US",
"telephone_number": "419-224-5915",
"fax_number": "419-224-5918",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAVAKOLI",
"first_name": "VAHID",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-14",
"last_updated": "2020-09-09",
"certification_date": "2020-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OH",
"license": "35.139298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VAHID",
"last_name": "TAVAKOLI",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.