Individual provider Active NPI

Mehdi M Tajouri, DO

  • Addiction Medicine (Family Medicine) Physician
  • Springfield, MO
National Provider Identifier
1891135430
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
2014022160 Issued in MO
Practice address
1423 N Jefferson Ave
Springfield, MO 65802-1917
Phone
(417) 269-2273
Fax
(417) 269-8851
NPI assigned
Jun 27, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2014022160 MO
Addiction Medicine (Family Medicine) Physician 207QA0401X 2014022160 MO Primary

Addresses

Primary practice location

1423 N Jefferson Ave
Springfield, MO 65802-1917

Mailing address

PO Box 802843
Kansas City, MO 64180-2843
Phone (417) 730-6430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20150831000590 MO Practitioner - Addiction MedicinePractitioner - Family Practice 2365758810 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Addiction MedicineAlso: Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lester E Cox Medical CentersGroup PAC ID 1254248917, 336 clinicians
Advent OneGroup PAC ID 9931618329, 5 clinicians

Practice addresses (Care Compare)

1423 N Jefferson Ave
Springfield, MO 65802-1917
Phone (417) 269-3000

3646 S Campbell Ave
Springfield, MO 65807-5202
Phone 5617258997905

3801 S National Ave
Springfield, MO 65807-5210
Phone (417) 269-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.52 of 100Reported as group
Quality
61.64
Promoting interoperability
100
Improvement activities
40
Cost
76.77

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas County Memorial Hospital Family Medicine CurrentSince Nov 13, 2015 Accepting new patients
Texas County Memorial Hospital Family Medicine CurrentSince Nov 13, 2015 Accepting new patients
Lakeland Hospital Acquisition, LLC CurrentSince Aug 10, 2015 Accepting new patients
Lakeland Hospital Acquisition, LLC CurrentSince Aug 10, 2015 Accepting new patients
Advent One Family Medicine CurrentSince Mar 5, 2025 Accepting new patients
Springfield Psychiatry & Addiction Medicine LLC CurrentSince Jul 1, 2023 Accepting new patients
Lester E. Cox Medical Centers Family Medicine Current Accepting new patients
Texas County Memorial Hospital CurrentSince Nov 13, 2015 Accepting new patients
Lester E Cox Medical Centers CurrentSince Mar 1, 2016 Accepting new patients

Locations

1337 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-5435

1333 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-1252

1675 E Seminole St
Ste A1
Springfield, MO 65804
Phone (417) 557-2355

3646 S Campbell Ave
Springfield, MO 65807
Phone (417) 597-4309

440 S Market Ave
Springfield, MO 65806
Phone (417) 865-5581

1230 E Kingsley St
Ste C
Springfield, MO 65804
Phone (417) 512-8788

Interoperability endpoints

  • Direct secure messaging: mehdi.tajouri.1@21731.direct.athenahealth.com
  • Direct secure messaging: mehdi.tajouri@cernerdirect.coxhealth.com

Organizations & group practices 9

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 3

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": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1891135430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802843",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641802843",
            "telephone_number": "417-730-6430",
            "fax_number": "417-269-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 N JEFFERSON AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658021917",
            "telephone_number": "417-269-2273",
            "fax_number": "417-269-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAJOURI",
        "first_name": "MEHDI",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-27",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2014022160",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "MO",
            "license": "2014022160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.