KELLI TAVARES M.D.
NPI 1205216694
Colon & Rectal Surgery in Tripler Army Medical Center, HI

Q: What is Kelli Tavares's NPI number?

The NPI number for Kelli Tavares is 1205216694. It was assigned to this individual provider in the NPPES registry on June 1, 2015.

Q: What is Kelli Tavares's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelli Tavares was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since June 01, 2015PECOS Enrolled

1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859(808) 433-1076 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 17, 2026, Apr 4, 2024, Aug 6, 2020 (3 updates tracked since 2020).

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About Kelli Tavares M.d. NPPES

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

KELLI TAVARES M.D. (NPI 1205216694) is an individual colon & rectal surgery provider in Tripler Army Medical Center, Hawaii, licensed in Texas (U7529) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205216694

Entity TypeIndividualFemale

Primary Taxonomy208C00000X

Provider Legal NameKELLI TAVARESCredential: M.D.

Location Address1 JARRETT WHITE RDTripler Army Medical Center, HI 96859-5001

Mailing Address5130 Gateway Blvd EEl Paso, TX 79905-1608 · (915) 215-4480 · Fax (915) 215-5386

Phone(808) 433-1076

Sole ProprietorNo

Enumeration DateJune 1, 2015

Last NPPES UpdateAugust 17, 20263 updates tracked since enumeration

NPPES CertifiedAugust 17, 2026

✔ NPI 1205216694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208C00000X

License✔ Licensed in TX · U7529

Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Also ListedSurgeryTaxonomy 208600000X · License 19161 (HI), U7529 (TX)

1 JARRETT WHITE RD, Tripler Army Medical Center, HI 96859

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelli Tavares M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Kelli Tavares reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Tech University Health Sciences Center

3,228 mi

Surgery

2000 B TRANSMOUNTAIN ROAD
El Paso, TX 79911

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: Texas Tech University Health Sciences Center El Paso
856 clinicians in this Medicare group

NPI 1083167134 (915) 215-5626

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96859 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

$92.50 typical visit price

range $60.53 – $180.05

Typical copayment $23.12 (range $15.13 – $45.01)

Most-billed visit code 99203

Established Patient

$74.92 typical visit price

range $20.09 – $147.56

Typical copayment $18.73 (range $5.02 – $36.89)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

CORINNE REYES LCSW

Social Worker (Clinical)

1 JARRETT WHITE RD
TRIPLER AMC, HI 96859

Honolulu County (808) 433-8785

DANIEL HEILMANN DO

Pediatrics

1 JARRETT WHITE RD
TRIPLER AMC, HI 96859

Honolulu County (808) 433-6697

MR. ADRIAN SCOTT WORTHEN M.D.

Internal Medicine

1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER
TRIPLER ARMY MEDICAL CENTER, HI 96859

Honolulu County (808) 433-4049

DR. JANE ELIZABETH MARSHALL OTD, OTR/L

Occupational Therapist

1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859

Honolulu County (937) 231-3795

TINA WILSON DO

General Practice

1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859

Honolulu County (210) 220-7961

MRS. LASHON SHEREMA WILLIAMS PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

1 JARRETT WHITE RD
TRIPLER AMC, HI 96859

Honolulu County (808) 433-8601

DR. NICHOLAS PATRICK MAHER DO

General Practice

1 JARRETT WHITE RD
TRIPLER AMC, HI 96859

Honolulu County (888) 683-2778

DR. KIMBERLY D DAVIS MD

Ophthalmology

1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859

Honolulu County (808) 471-9998

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 Kelli Tavares's NPI number?

The NPI number for Kelli Tavares is 1205216694. It was assigned to this individual provider in the NPPES registry on June 1, 2015.

Where is Kelli Tavares located?

Kelli Tavares practices at 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859. The listed phone number is (808) 433-1076.

What is Kelli Tavares's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Kelli Tavares enrolled in Medicare?

Yes. Kelli Tavares is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelli Tavares's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelli Tavares reassigns Medicare benefits to Texas Tech University Health Sciences Center (El Paso, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelli Tavares's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelli Tavares accept?

Health plans from Blue Cross and Blue Shield of Texas list Kelli Tavares as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelli Tavares was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.