Individual provider Active NPI

Vahid Tavakoli, M.D.

  • Cardiovascular Disease Physician
  • Lima, OH
National Provider Identifier
1386063816
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35.139298 Issued in OH
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201013002400 OH Practitioner - Cardiovascular Disease (Cardiology) 5496020489 Reassigns benefits to 1 organization

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

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.139298OHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Professional Corporation CurrentSince Aug 31, 2020 Accepting new patients
Lima Memorial Professional Corporation CurrentSince Aug 31, 2020 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

  • Direct secure messaging: vahid.tavakoli@lmpc.eclinicaldirectplus.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.