Individual provider Active NPI

Tachira Tavarez, MD

  • Neurocritical Care Physician
  • Baltimore, MD
National Provider Identifier
1952741613
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurocritical Care PhysicianTaxonomy code 2084A2900X
License
MD21128 Issued in RI
Practice address
600 N Wolfe St
Baltimore, MD 21287-0005
Phone
(410) 955-5000
NPI assigned
Jun 26, 2013
Last updated
May 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Neurocritical Care Physician 2084A2900X 01087511A IN
Neurology Physician 2084N0400X 1271189 ID
Neurology Physician 2084N0400X 104233 GA
Neurology Physician 2084N0400X D92054 MD
Neurocritical Care Physician 2084A2900X MD21128 RI Primary
Neurology Physician 2084N0400X 01087511A IN

Addresses

Primary practice location

600 N Wolfe St
Baltimore, MD 21287-0005

Mailing address

600 N Wolfe St
Baltimore, MD 21287-0005
Phone (410) 955-5000

Other practice location 1

2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Phone (812) 353-5222

Other practice location 2

2401 W University Ave
Muncie, IN 47303-3428
Phone (765) 751-2600

Other practice location 3

11104 Parkview Circle Dr Ste 110
Fort Wayne, IN 46845-1673
Phone (260) 425-6780

Other practice location 4

1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 302-4200

Other practice location 5

1000 Johnson Ferry Rd
Atlanta, GA 30342-1606
Phone (404) 851-8000

Other practice location 6

593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-5745

Other practice location 7

22 S Greene St Rm N3E09
Baltimore, MD 21201-1544
Phone (410) 328-6110

Other identifiers 3

IdentifierTypeStateIssuer
D92054OtherMDLICENSE
300063167MedicaidIN
090540857OtherINMEDICARE PTAN

Electronic endpoints 5

TypeEndpointUseAffiliation
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/
Direct Messaging Address ttavarez485458@Direct.Parkviewexchange.com
Direct Messaging Address ttavarez@direct.iuhealth.org Direct
Direct Messaging Address ttavarez@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, IN, NY, DE, DC, KY, WV, GA, OH, NC, ID, RI12 enrollments
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 12

Enrollment IDStateProvider typePAC IDDetails
I20210811002224 MD Practitioner - Neurology 7113225327 Reassigns benefits to 2 organizations
I20220901001107 IN Practitioner - Neurology 7113225327 Reassigns benefits to 4 organizations
I20250404000756 NY Practitioner - Neurology 7113225327 Reassigns benefits to 1 organization
I20250425001028 DE Practitioner - Neurology 7113225327 Reassigns benefits to 1 organization
I20250514001915 DC Practitioner - Neurology 7113225327 Reassigns benefits to 1 organization
I20250528002007 KY Practitioner - Neurology 7113225327 Reassigns benefits to 1 organization
I20250702004169 WV Practitioner - Neurology 7113225327 Reassigns benefits to 1 organization
I20250716003133 GA Practitioner - Neurology 7113225327 Reassigns benefits to 2 organizations
I20250730003388 OH Practitioner - Neurology 7113225327 Reassigns benefits to 1 organization
I20251204000246 NC Practitioner - Neurology 7113225327 Reassigns benefits to 1 organization
I20251218003270 ID Practitioner - Neurology 7113225327 Reassigns benefits to 1 organization
I20260522001423 RI Practitioner - Neurology 7113225327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians
Parkview Health System IncGroup PAC ID 2163336967, 1,350 clinicians
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

Claymont, DE 19703
Phone (972) 449-0540

100 E Carroll St
Salisbury, MD 21801-5422
Phone (972) 449-0540

100 Sadie LN
Morgantown, WV 26508-1166
Phone (972) 449-0540

1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-2121

1100 Mercer Ave
Decatur, IN 46733-2303
Phone (972) 449-0540

11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 425-6030

11115 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 672-6443

1135 Carthage St
Sanford, NC 27330-4162
Phone (972) 449-0540

1140 Lexington Rd
Georgetown, KY 40324-9330
Phone (972) 449-0540

13314 Sunny Brooke PL
Potomac, MD 20854-6392
Phone (972) 449-0540

1710 Harper Rd
Beckley, WV 25801-3357
Phone (972) 449-0540

175 Hospital Dr
Winchester, KY 40391-9591
Phone (912) 449-0240

188 Kitdare Dr
Delaware, OH 43015-7076
Phone (972) 449-0540

2951 Maple Ave
Zanesville, OH 43701-1406
Phone (972) 449-0540

300 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3058

301 Mike Clouse Dr
Somerset, OH 43783-8000
Phone (972) 449-0540

3025 W Cherry LN
Meridian, ID 83642-8531

3066 Valleybrook CT
Newburgh, IN 47630-2682
Phone (972) 449-0540

3885 Little Bluestem Dr
Owensboro, KY 42303-8302
Phone (972) 449-0540

4 Osprey TRL
Asheville, NC 28806-0152
Phone (972) 449-0540

401 N Sawyer Rd
Kendallville, IN 46755-2568
Phone (260) 266-5700

4300 E Flamingo Ave
Nampa, ID 83687-3138
Phone (208) 205-1000

801 Middleford Rd
Seaford, DE 19973-3636
Phone (972) 449-0540

8118 Good Luck Rd
Lanham, MD 20706-3574
Phone (972) 449-0540

817 Trail Ridge Rd
Albion, IN 46701-1534
Phone (260) 373-9590

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.31 of 100Reported as group
Quality
73.89
Promoting interoperability
100
Improvement activities
40
Cost
70.47

Merit-based Incentive Payment System (MIPS)

Final score
83.53 of 100Reported as group
Quality
70
Promoting interoperability
100
Improvement activities
40
Cost
75.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD21128RIMDNeurocritical Care Physician
104233GAMDNeurology Physician
1271189IDMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Telecare, PLLC Neurology CurrentSince Apr 17, 2025 Accepting new patients
Indiana University Health Southern Indiana Physicians, LLC CurrentSince Jun 26, 2023 Accepting new patients
North Shore-Lij Medical PC CurrentSince Jan 27, 2025 Accepting new patients
Indiana University Health Southern Indiana Physicians LLC CurrentSince Jun 26, 2023 Accepting new patients
Northside Primary Care Professional Services, LLC CurrentSince Jun 22, 2025 Accepting new patients
Indiana University Health Ball Memorial Physicians, Inc. Anesthesiology CurrentSince Jan 6, 2023 Accepting new patients
North Atlanta Professional Services LLC CurrentSince Jun 22, 2025 Accepting new patients
Johns Hopkins University CurrentSince Aug 1, 2021 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Neurology CurrentSince Nov 1, 2025 Accepting new patients
Johns Hopkins University Anesthesiology CurrentSince Aug 1, 2021 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Nov 1, 2025 Accepting new patients
Johns Hopkins University Current Accepting new patients
Northside Primary Care Professional Services,LLC Current Accepting new patients

Locations

2093 Philadelphia Pike
Claymont, DE 19703
Phone (201) 308-3903

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

3832 Solutions Ctr
Chicago, IL 60677

2651 E Discovery Pkwy
Bloomington, IN 47408
Phone (812) 353-9147

727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141

2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111

600 N Wolfe St
Baltimore, MD 21287

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

300 Community Dr
Manhasset, NY 11030

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: ttavarez4613933@direct.trinity-health.org
  • Direct secure messaging: ttavarez485458@direct.parkviewexchange.com
  • Direct secure messaging: ttavarez67128@northwell.direct-ci.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 7

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": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1952741613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N WOLFE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870005",
            "telephone_number": "410-955-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N WOLFE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870005",
            "telephone_number": "410-955-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2651 E Discovery Pkwy",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474089059",
            "country_code": "US",
            "telephone_number": "812-353-5222",
            "fax_number": "812-353-5262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2401 W University Ave",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473033428",
            "country_code": "US",
            "telephone_number": "765-751-2600",
            "fax_number": "765-751-5347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11104 Parkview Circle Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468451673",
            "country_code": "US",
            "telephone_number": "260-425-6780",
            "fax_number": "260-425-6789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1055 N Curtis Rd",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837061309",
            "country_code": "US",
            "telephone_number": "208-302-4200",
            "fax_number": "208-302-4255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Johnson Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303421606",
            "country_code": "US",
            "telephone_number": "404-851-8000",
            "fax_number": "404-303-3759",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "593 Eddy St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029034923",
            "country_code": "US",
            "telephone_number": "401-444-5745",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 S Greene St Rm N3E09",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011544",
            "country_code": "US",
            "telephone_number": "410-328-6110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAVAREZ",
        "first_name": "TACHIRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "IN",
            "license": "01087511A",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "ID",
            "license": "1271189",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "104233",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D92054",
            "primary": false
        },
        {
            "code": "2084A2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "RI",
            "license": "MD21128",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01087511A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "D92054",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300063167",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "090540857",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "11104 Parkview Circle Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451672",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "11104 Parkview Circle Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451672",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ttavarez485458@Direct.Parkviewexchange.com",
            "affiliation": "N",
            "address_1": "11104 Parkview Circle Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451672",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ttavarez@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2651 E Discovery Pkwy",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474089059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ttavarez@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2401 W University Ave",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473033428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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Sources for this page

Verify at the official NPI Registry.