Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

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: September 06, 2026.

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

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 and maintains 2 additional practice locations.

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
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

Secondary Practice Locations 2

Location 14815 Alameda AveEl Paso, TX 79905 · Phone (915) 215-5300 · Fax (915) 215-8606
Location 218511 Highlander Medics StEl Paso, TX 79906-5327 · Phone (915) 569-3200

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

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.

Social Worker (Clinical)
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Pediatrics
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Internal Medicine
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER
TRIPLER ARMY MEDICAL CENTER, HI 96859
Occupational Therapist
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859
General Practice
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859
Nurse Practitioner (Psychiatric/Mental Health)
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
General Practice
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Ophthalmology
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859

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.

What insurance does Kelli Tavares accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare 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 25 days 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.