Tara Summer Tavakoli, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS21056 Issued in FL

Practice address

250 2ND St E Ste 3B
Bradenton, FL 34208-1027

Phone

(941) 746-4151

NPI assigned

Mar 29, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospitalist Group of Manatee County LLCGroup PAC ID 4486976966, 6 clinicians

Cooper Family Medical PLLCGroup PAC ID 9931171782, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pinnacle Home Care Home health agency, Tampa, FL, CCN 683149
• Manatee Memorial Hospital Hospital, Bradenton, FL, CCN 100035
• HCA Florida Blake Hospital Hospital, Bradenton, FL, CCN 100213
• Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tara.tavakoli.2@26999.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/26999/brand/2/csg/1/fhir/r4
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Cooper Family Medical PLLC

  • Family Medicine Physician
  • Bradenton, FL
  • NPI 1871513192
  Medicare reassignment Care Compare group NPD
• Hospitalist Group of Manatee County, LLC

  • Internal Medicine Physician
  • Bradenton, FL
  • NPI 1790190098
  Medicare reassignment Care Compare group NPD

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

• HCA Health Services of Florida, Inc.

  dba HCA Florida Blake Hospital

  • General Acute Care Hospital
  • Bradenton, FL
  • NPI 1114964244
  Care Compare affiliation
• Manatee Memorial Hospital L P

  dba Manatee Memorial Hospital

  • General Acute Care Hospital
  • Bradenton, FL
  • NPI 1760472799
  Care Compare affiliation
• Pinnacle Home Care of Hillsborough, LLC.

  • Home Health Agency
  • Tampa, FL
  • NPI 1437663465
  Care Compare affiliation
• Sarasota County Public Hospital District

  dba Sarasota Memorial Hospital

  • General Acute Care Hospital
  • Sarasota, FL
  • NPI 1245294826
  Care Compare affiliation

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1568040020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 2ND ST E STE 3B",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081027",
            "telephone_number": "941-746-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 2ND ST E STE 3B",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081027",
            "telephone_number": "941-746-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVAKOLI",
        "first_name": "TARA",
        "middle_name": "SUMMER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS21056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Johnson Nurse Practitioner LLC
• Katherine Tardiel, MD
• Tashawna K. Duncan, PH.D., P.a.
• Trisha Leann Tate
• Brandie S Tatro, MSPT
• Ingrid Tavera
• Adilia Florentina Taylor, M.D.
• Aliyah A Taylor, HOME CARE
• Chelsea Anne Taylor, PA
• Darius Taylor, PA-C

• Family Medicine Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.