Marino D Tavarez, M.D.,

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

232852 Issued in NY

Practice address

12 Leach Rd
Lyons Health Center
Lyons, NY 14489-9732

Phone

(315) 946-6075

Fax

(315) 946-4254

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Family Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rochester Regional Health Home Care Home health agency, Rochester, NY, CCN 337066
• Rochester General Hospital Hospital, Rochester, NY, CCN 330125
• Newark-Wayne Community Hospital Hospital, Newark, NY, CCN 330030
• Clifton Springs Hospital and Clinic Hospital, Clifton Springs, NY, CCN 330265
• Geneva General Hospital Hospital, Geneva, NY, CCN 330058

Merit-based Incentive Payment System (MIPS)

Final score

96.62 of 100Reported as apm

Quality

74.51

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mtavarez116037@direct.rochesterregional.org

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.

• Rochester General Hospital

  dba Rochester General Medical Groups

  • Family Medicine Physician
  • Rochester, NY
  • NPI 1356412712
  Medicare reassignment Care Compare group NPD
• Rochester General Hospital

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1063531929
  NPD
• Rochester General Hospital

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1255360517
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Clifton Springs Sanitarium Co

  dba Clifton Springs Hospital and Clinic

  • General Acute Care Hospital
  • Clifton Springs, NY
  • NPI 1366505463
  Care Compare affiliation
• Genesee Region Home Care Association Inc.

  dba Rochester Regional Health Home Care

  • Home Health Agency
  • Rochester, NY
  • NPI 1801819271
  Care Compare affiliation
• Geneva General Hospital Inc.

  • General Acute Care Hospital
  • Geneva, NY
  • NPI 1952418352
  Care Compare affiliation
• Geneva General Hospital, Inc

  • Family Medicine Physician
  • Clyde, NY
  • NPI 1255087003

  Hospital

  Care Compare affiliation
• Newark Wayne Community Hospital

  • General Acute Care Hospital
  • Newark, NY
  • NPI 1346369212
  Care Compare affiliation
• Newark Wayne Community Hospital

  • General Acute Care Hospital
  • Newark, NY
  • NPI 1770671182
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420416000000",
    "number": "1518049865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 LEACH RD",
            "address_2": "LYONS HEALTH CENTER",
            "city": "LYONS",
            "state": "NY",
            "postal_code": "144899732",
            "telephone_number": "315-946-6075",
            "fax_number": "315-946-4254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 LEACH RD",
            "address_2": "LYONS HEALTH CENTER",
            "city": "LYONS",
            "state": "NY",
            "postal_code": "144899732",
            "telephone_number": "315-946-6075",
            "fax_number": "315-946-4254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVAREZ",
        "first_name": "MARINO",
        "middle_name": "D",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2015-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "232852",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD441558",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "12860",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NY",
            "license": "232852",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "PA",
            "license": "MD441558",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "HI",
            "license": "12860",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02868248",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Stewart, LMSW
• Makenzie Storto, CASAC -T
• Kimberly Anne Swan, MSED NCC LMHC
• Richard J Switzer, MS CAS MA
• Thomas Andrew Tanchick, MSW
• Pamela S Taylor, RN, BSN
• Tamara Tesler, LMHC
• Christopher Joseph Thomas, CASAC
• Elizabeth Thomas, MSW
• Brandon Towey, MD

• Family Medicine Physician in Lyons, NY
• Providers in Lyons, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.

Verify at the official NPI Registry.