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

DR. LARISSA LIMA TAVARES MD
NPI 1245970474
General Practice in Deerfield Beach, FL

Active since March 29, 2022PECOS Enrolled
2001 W SAMPLE RD STE 100, DEERFIELD BEACH, FL 33064(201) 206-7732 Get Directions Write a Review

NPPES record last updated: October 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Larissa Lima Tavares Md NPPES

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

DR. LARISSA LIMA TAVARES MD (NPI 1245970474) is an individual general practice provider in Deerfield Beach, Florida, licensed in Florida (ME181571) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245970474
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. LARISSA LIMA TAVARESCredential: MD
Location Address2001 W SAMPLE RD STE 100Deerfield Beach, FL 33064-1346
Mailing Address310 Lexington Ave Apt 8cNew York, NY 10016-3138 · (201) 206-7732
Sole ProprietorNo
Enumeration DateMarch 29, 2022
Last NPPES UpdateOctober 24, 2026
NPPES CertifiedOctober 24, 2026
✔ NPI 1245970474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ME181571
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2001 W SAMPLE RD STE 100, Deerfield Beach, FL 33064

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Larissa Lima Tavares Md 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 Larissa Tavares reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
9611 SW 40TH ST
Miami, FL 33165
  • Reassigned Medicare billing, Florida enrollment
  • 18 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
2001 W SAMPLE RD STE 100
DEERFIELD BEACH, FL 33064
Nurse Practitioner (Family)
2001 W SAMPLE RD STE 100
DEERFIELD BEACH, FL 33064
Nurse Practitioner (Family)
2001 W SAMPLE RD STE 100
DEERFIELD BEACH, FL 33064
Family Medicine
2001 W SAMPLE RD STE 100
DEERFIELD BEACH, FL 33064

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 Larissa Tavares's NPI number?

The NPI number for Larissa Tavares is 1245970474. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Where is Larissa Tavares located?

Larissa Tavares practices at 2001 W Sample Rd Ste 100, Deerfield Beach, FL 33064. The listed phone number is (201) 206-7732.

What is Larissa Tavares's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Larissa Tavares enrolled in Medicare?

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

Which organization bills Medicare for Larissa Tavares's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Larissa Tavares reassigns Medicare benefits to Navarro Medical Centers LLC (Miami, FL). 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 Larissa Tavares's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Larissa Tavares was last updated on October 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.