Sergio Tavares, M.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

G4411 Issued in TX

Practice address

601 Texan TRL
#205
Corpus Christi, TX 78411-2547

Phone

(361) 884-7081

Fax

(361) 884-5202

NPI assigned

Jul 18, 2005

Last updated

Feb 20, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 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

Specialty

Cardiac Surgery

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Corpus Christi, TX, CCN 679302
• Choice Health at Home Home health agency, Corpus Christi, TX, CCN 747109
• Corpus Christi Medical Center,the Hospital, Corpus Christi, TX, CCN 450788

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JFFCDD/Endpoint/JFFCDD

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

• Amor Home Health, LLC

  dba Choice Health at Home

  • Home Health Agency
  • Corpus Christi, TX
  • NPI 1124216403
  Care Compare affiliation
• Bay Area Healthcare Group, LTD.

  dba Corpus Christi Medical Center

  • General Acute Care Hospital
  • Corpus Christi, TX
  • NPI 1508810573
  Care Compare affiliation
• DRC Health Systems, LP

  dba Enhabit Home Health

  • Home Health Agency
  • Corpus Christi, TX
  • NPI 1457607053
  Care Compare affiliation

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1801895222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 TEXAN TRL",
            "address_2": "#205",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112547",
            "telephone_number": "361-884-7081",
            "fax_number": "361-884-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 TEXAN TRL",
            "address_2": "#205",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112547",
            "telephone_number": "361-884-7081",
            "fax_number": "361-884-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVARES",
        "first_name": "SERGIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "G4411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Marie Tartaglia, OT
• Dora Tascon, LMT
• Julie Danielle Tate, AU.D.
• Timothy C Tate, LPC
• Zachary Tavallaee, DO
• Edna Andres Taylor
• Elizabeth Jasmin Taylor
• Emily Taylor, M.A., LPC-AT, ATR-BC
• Jeanne Mae Taylor, PT
• John Taylor

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.