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HESAM TAVAKOLI
NPI 1063866630
Internal Medicine - Critical Care Medicine in Oakland, CA

Active since April 20, 2016PECOS EnrolledAccepts Medicare Assignment
91.04/100
CMS Quality Rating
1411 E 31ST ST, OAKLAND, CA 94602(510) 437-5039(510) 535-7313 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2023, Oct 1, 2019 (2 updates tracked since 2019).

About Hesam Tavakoli NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HESAM TAVAKOLI (NPI 1063866630) is an individual critical care medicine provider in Oakland, California, licensed in California (157939) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1063866630
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameHESAM TAVAKOLI
Location Address1411 E 31ST STOakland, CA 94602-1018
Mailing Address1411 E 31st StOakland, CA 94602-1018 · (510) 437-5039 · Fax (510) 535-7313
Phone(510) 437-5039
Fax(510) 535-7313
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 20, 2016
Last NPPES UpdateJuly 24, 20232 updates tracked since enumeration
NPPES CertifiedJuly 24, 2023
✔ NPI 1063866630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in CA · 157939
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 157939 (CA)
1411 E 31ST ST, Oakland, CA 94602
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hesam Tavakoli is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446588214
PECOS Enrollment IDI20190819002189
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
34 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.13
Promoting Interoperability100
Improvement Activities40
Cost64.1

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. YVONNE DIANE ESCARSEGA MSW
Social Worker (Clinical)
1411 E 31ST ST
OAKLAND, CA 94602
Alameda County (510) 437-4373
MR. JUAN CASILLAS JR. NP
Nurse Practitioner (Family)
1411 E 31ST ST
OAKLAND, CA 94602
Alameda County (510) 437-4800
SADHANA SAMANT MD
Obstetrics & Gynecology
1411 E 31ST ST, OAKCARE MEDICAL GROUP
OAKLAND, CA 94602
Alameda County (510) 437-4323
PATRICIA SCOTT MEYER PA
Clinical Nurse Specialist (Emergency)
1411 E 31ST ST
OAKLAND, CA 94602
Alameda County (209) 342-2300
NATHALIE BALOGUN MSW MPH
Social Worker (Clinical)
1411 E 31ST ST, ALAMEDA COUNTY MEDICAL CENTER - MEDICAL SOCAL WORK SRVC
OAKLAND, CA 94602
Alameda County (510) 437-4949
CYNTHIA MARIE ROWDEN RN
Registered Nurse (Ambulatory Care)
1411 E 31ST ST
OAKLAND, CA 94602
Alameda County (510) 437-4373
DR. KAYLA ENRIQUEZ MD
Emergency Medicine
1411 E 31ST ST
OAKLAND, CA 94602
Alameda County (510) 437-4564
DR. CHERYL LIN PARK M.D.
Surgery
1411 E 31ST ST
OAKLAND, CA 94602
Alameda County (510) 437-4743

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hesam Tavakoli's NPI number?

The NPI number for Hesam Tavakoli is 1063866630. It was assigned to this individual provider in the NPPES registry on April 20, 2016.

Where is Hesam Tavakoli located?

Hesam Tavakoli practices at 1411 E 31st St, Oakland, CA 94602. The listed phone number is (510) 437-5039.

What is Hesam Tavakoli's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Hesam Tavakoli enrolled in Medicare?

Yes. Hesam Tavakoli is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Hesam Tavakoli was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.