Active NPI
Tachira Tavarez, MD
- Neurocritical Care Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurocritical Care Physician
- License
- MD21128
- Practice address
- 600 N Wolfe St
Baltimore, MD 21287-0005 - Phone
- (410) 955-5000
- NPI assigned
- Jun 26, 2013
- Last updated
- May 12, 2026
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D92054 | Other | MD | LICENSE |
| 300063167 | Medicaid | IN | |
| 090540857 | Other | IN | MEDICARE PTAN |
Electronic endpoints 5
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 12
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
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
- Parkview Regional Medical Center
- North Shore University Hospital
- Saint Alphonsus Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.31 of 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.47
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.53 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD21128 | RI | MD | Neurocritical Care Physician |
| 104233 | GA | MD | Neurology Physician |
| 1271189 | ID | MD | Neurology Physician |
Practice roles
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
- ttavarez4613933@direct.trinity-health.org
- ttavarez485458@direct.parkviewexchange.com
- 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.
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1013303080
DC, DE, IN, KY, MD, NC, Neurology, OH, WV
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
dba Parkview Physicians Group
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1932130952
-
dba Jhu - Anesthesia Pain MGMT
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
- Family Medicine Physician
- Muncie, IN
- NPI 1235455544
Anesthesiology
-
- Multi-Specialty Clinic/Center
- Bloomington, IN
- NPI 1013953983
-
- Psychologist
- Atlanta, GA
- NPI 1316959869
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1922397553
-
- Multi-Specialty Clinic/Center
- Providence, RI
- NPI 1154537520
-
dba JHU - 4692 Millennium Drive - Physician
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
dba Jhu - Anesthesiology
- Anesthesiology Physician
- Baltimore, MD
- NPI 1740286418
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
-
dba Parkview Regional Medical Center
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1366407603
-
dba Saint Alphonsus RMC TVL
- General Acute Care Hospital
- Boise, ID
- NPI 1184155426
-
dba St Alphonsus Rehabilitation Services
- General Acute Care Hospital
- Boise, ID
- NPI 1457414948
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
-
- Family Medicine Physician
- Caldwell, ID
- NPI 1861676298
Hospital
-
- General Acute Care Hospital
- Boise, ID
- NPI 1992736649
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": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.