TARA NOWAKHTAR
NPI 1255746475
Obstetrics & Gynecology in Playa Vista, CA

Active since June 26, 2014PECOS EnrolledAccepts Medicare Assignment
85.71/100
CMS Quality Rating
12746 W. JEFFERSON BLVD SUITE 4000, PLAYA VISTA, CA 90094(424) 315-2277 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Tara Nowakhtar NPPES

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

TARA NOWAKHTAR (NPI 1255746475) is an individual obstetrics & gynecology provider in Playa Vista, California, licensed in California (20A16591) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in North Hollywood, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1255746475
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameTARA NOWAKHTAR
Location Address12746 W. JEFFERSON BLVD SUITE 4000Playa Vista, CA 90094-5162
Mailing Address4140 W 190th StTorrance, CA 90504-5162
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 26, 2014
Last NPPES UpdateJune 26, 2023
NPPES CertifiedJune 26, 2023
✔ NPI 1255746475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in CA · 20A16591✔ Licensed in MI · 5101021203
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
12746 W. JEFFERSON BLVD SUITE 4000, Playa Vista, CA 90094

Secondary Practice Location 1

Location 16801 Coldwater Canyon AveNorth Hollywood, CA 91605-5162 · Phone (818) 763-8836

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tara Nowakhtar 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 ID3779893961
PECOS Enrollment IDI20190424001645
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 Reassignments

2

Medicare enrollment records show Tara Nowakhtar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
6500 WILSHIRE BLVD FL 15
Los Angeles, CA 90048
  • Reassigned Medicare billing, California enrollment
  • 2,118 clinicians in this Medicare group
Voluntary or Charitable
6801 COLDWATER CANYON AVE
North Hollywood, CA 91605
  • Reassigned Medicare billing, California enrollment
  • 52 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90094 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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.

85.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.67
Promoting Interoperability100
Improvement Activities40
Cost61.47

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 Tara Nowakhtar's NPI number?

The NPI number for Tara Nowakhtar is 1255746475. It was assigned to this individual provider in the NPPES registry on June 26, 2014.

Where is Tara Nowakhtar located?

Tara Nowakhtar practices at 12746 W. Jefferson Blvd Suite 4000, Playa Vista, CA 90094. The listed phone number is (424) 315-2277.

What is Tara Nowakhtar's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Tara Nowakhtar enrolled in Medicare?

Yes. Tara Nowakhtar 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.

Which organizations bill Medicare for Tara Nowakhtar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tara Nowakhtar reassigns Medicare benefits to 2 organizations: Cedars-Sinai Medical Care Foundation (Los Angeles, CA) and Valley Community Healthcare (North Hollywood, CA). Each 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 Tara Nowakhtar'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 Tara Nowakhtar was last updated on June 26, 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.