Individual provider Active NPI

Mojgan Tavakoli, DPM

  • Podiatrist
  • Frisco, TX
National Provider Identifier
1801847694
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1549 Issued in TX
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, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8B8721OtherTXBLUE CROSS BLUE SHIELD
148569001MedicaidTX
752946496OtherTXCOMMERCIAL
148568201MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100902001061 TX Practitioner - Podiatry 2062486558 Reassigns benefits to 1 organization

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
Tavakoli Knapp Associates PAGroup PAC ID 4284670829, 4 clinicians

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 100Reported as group
Quality
80.65
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue56
Removal of skin lesions19
Removal of nail tissue100
Removal or shaving of skin growth29
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tavakoli Knapp Associates P.a. Podiatrist CurrentSince Jun 11, 2001 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Sources for this page

Verify at the official NPI Registry.