Active NPI
Mojgan Tavakoli, DPM
- Podiatrist
- Frisco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1549
- Practice address
- 4461 Coit Rd
Suite 409
Frisco, TX 75035-0526 - Phone
- (972) 712-7773
- Fax
- (972) 712-3134
- NPI assigned
- May 15, 2006
- Last updated
- Apr 10, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 1549 | TX | Primary |
Addresses
Primary practice location
4461 Coit Rd
Suite 409
Frisco, TX 75035-0526
Mailing address
4461 Coit Rd
Suite 409
Frisco, TX 75035-0526
Phone (972) 712-7773
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8B8721 | Other | TX | BLUE CROSS BLUE SHIELD |
| 148569001 | Medicaid | TX | |
| 752946496 | Other | TX | COMMERCIAL |
| 148568201 | Medicaid | TX |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5375 Coit Rd
Suite 100
Frisco, TX 75035-4911
Phone (972) 712-7773
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.32 of 100
- Quality
- 80.65
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 56 |
| Removal of skin lesions | 19 |
| Removal of nail tissue | 100 |
| Removal or shaving of skin growth | 29 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tavakoli Knapp Associates P.a. | Podiatrist | Current | Accepting new patients |
Locations
5375 Coit Rd
Ste 100
Frisco, TX 75035
Phone (972) 672-5278
4461 Coit Rd
Ste 409
Frisco, TX 75035
Phone (214) 396-8877
1212 Coit Rd
Ste 108
Plano, TX 75075
Phone (972) 519-1955
Interoperability endpoints
- mtavakoli@facf.ssdirect.aprima.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Foot and Ankle Center of Plano Frisco
- Podiatrist
- Frisco, TX
- NPI 1639120421
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Frisco, TX
- NPI 1801826839
-
dba Baylor Institute for Rehabilitation
- Rehabilitation Hospital
- Dallas, TX
- NPI 1538465901
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207785600000",
"number": "1801847694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4461 COIT RD",
"address_2": "SUITE 409",
"city": "FRISCO",
"state": "TX",
"postal_code": "750350526",
"telephone_number": "972-712-7773",
"fax_number": "972-712-3134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4461 COIT RD",
"address_2": "SUITE 409",
"city": "FRISCO",
"state": "TX",
"postal_code": "750350526",
"telephone_number": "972-712-7773",
"fax_number": "972-712-3134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAVAKOLI",
"first_name": "MOJGAN",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-15",
"last_updated": "2008-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TX",
"license": "1549",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8B8721",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "148569001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL",
"identifier": "752946496",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "148568201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Frisco, TX
- Jillian Nicole Tate, FNP-C
- Katherine Rose Tate
- Kennedi Tate
- Krishna Chaithanya Tatineni, M.D.
- Tavakoli Knapp Associates P.a. (Foot and Ankle Center of Plano Frisco)
- Emma Shalee Tavares
- Taylor Family Wellness Center, P.a. (Taylor Family Chiropractic, P.A)
- Riley Kathleen Taylor-Peyton, RBT
- Amy Taylor
- Destiny Marie Taylor, FNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.