Individual provider Active NPI

Lindsey Hope Tavakolian, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Southlake, TX
National Provider Identifier
1669904173
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
U0204 Issued in TX
Practice address
521 W Southlake Blvd Ste 175
Southlake, TX 76092-6175
Phone
(817) 820-0000
NPI assigned
Apr 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X U0204 TX
Student in an Organized Health Care Education/Training Program 390200000X
Plastic and Reconstructive Surgery Physician 2086S0122X U0204 TX Primary

Addresses

Primary practice location

521 W Southlake Blvd Ste 175
Southlake, TX 76092-6175

Mailing address

800 8TH Ave Ste 400
Fort Worth, TX 76104-2613
Phone (817) 820-0000

Other practice location 1

800 8th Ave Ste 400
Fort Worth, TX 76104-2613
Phone (817) 820-0000

Other names 1

  • Dr. Lindsey Hope Cochran Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240418002931 TX Practitioner - Plastic and Reconstructive Surgery 7810336153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Mercer University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jonathan B. Heistein, MD, PAGroup PAC ID 7810170800, 2 clinicians

Practice addresses (Care Compare)

800 8TH Ave
Suite 400
Fort Worth, TX 76104-2613
Phone (817) 820-0000

800 8TH Ave
Suite 400
Fort Worth, TX 76104-2619

Hospital & facility affiliations

  • Texas Health Harris Methodist Hospital Southlake Hospital, Southlake, TX, CCN 450888

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U0204TXMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan B. Heistein, MD, PA Plastic Surgery CurrentSince May 1, 2025 Accepting new patients

Locations

800 8th Ave
Ste 400
Fort Worth, TX 76104
Phone (817) 334-0030

521 W Southlake Blvd
Ste 175
Southlake, TX 76092
Phone (214) 444-3697

Interoperability endpoints

  • Direct secure messaging: lcochran68715@direct.phhs.org

Organizations & group practices 1

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.

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": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1669904173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 8TH AVE STE 400",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042613",
            "telephone_number": "817-820-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 W SOUTHLAKE BLVD STE 175",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926175",
            "telephone_number": "817-820-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 8th Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761042613",
            "country_code": "US",
            "telephone_number": "817-820-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAVAKOLIAN",
        "first_name": "LINDSEY",
        "middle_name": "HOPE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "U0204",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "U0204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "COCHRAN",
            "middle_name": "HOPE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Southlake, TX

Sources for this page

Verify at the official NPI Registry.