KIM TAVAJIAN AGACNP-DNP
NPI 1306291687
Nurse Practitioner - Acute Care in Winfield, IL
About Kim Tavajian Agacnp-dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIM TAVAJIAN AGACNP-DNP (NPI 1306291687) is an individual acute care provider in Winfield, Illinois, licensed in Illinois (209014079) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Jfk Medical Center, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
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
Kim Tavajian Agacnp-dnp 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.
Medicare Billing Reassignments
7Medicare enrollment records show Kim Tavajian reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Carol Stream, IL 60122
- Reassigned Medicare billing, Illinois enrollment
- 1,664 clinicians in this Medicare group
Fort Wayne, IN 46804
- Reassigned Medicare billing, Indiana enrollment
- 309 clinicians in this Medicare group
Mount Gilead, OH 43338
- Reassigned Medicare billing, Ohio enrollment
- 89 clinicians in this Medicare group
East Stroudsburg, PA 18301
- Reassigned Medicare billing, Pennsylvania enrollment
- 103 clinicians in this Medicare group
Edison, NJ 08820
- Reassigned Medicare billing, New Jersey enrollment
- 351 clinicians in this Medicare group
East Orange, NJ 07018
- Reassigned Medicare billing, New Jersey enrollment
- 125 clinicians in this Medicare group
Ellsworth, ME 04605
- Reassigned Medicare billing, Maine enrollment
- 99 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.
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jfk Medical Center
Acute Care Hospitals · Edison, NJBayshore Medical Center
Acute Care Hospitals · Holmdel, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60190 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WINFIELD, IL 60190
WINFIELD, IL 60190
WINFIELD, IL 60190
WINFIELD, IL 60190
WINFIELD, IL 60190
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 Kim Tavajian's NPI number?
The NPI number for Kim Tavajian is 1306291687. It was assigned to this individual provider in the NPPES registry on April 25, 2016.
Where is Kim Tavajian located?
Kim Tavajian practices at 25 North Winfield Road, Winfield, IL 60190. The listed phone number is (630) 933-2113.
What is Kim Tavajian's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Kim Tavajian enrolled in Medicare?
Yes. Kim Tavajian 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 Kim Tavajian's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kim Tavajian reassigns Medicare benefits to 7 organizations: Central Dupage Physician Group (Carol Stream, IL), Hospitalist Physicians Of Indiana, PC (Fort Wayne, IN), Hospital Medicine Services Of Ohio, Inc. (Mount Gilead, OH), Pennsylvania Hm Associates PC (East Stroudsburg, PA), Hospitalist Physicians Of New Jersey PA (Edison, NJ) and 2 more organizations, listed in the Medicare section above. 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 Kim Tavajian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kim Tavajian affiliated with any hospitals?
According to CMS data, Kim Tavajian is affiliated with Jfk Medical Center and Bayshore Medical Center.
When was this NPI record last updated?
The NPPES record for Kim Tavajian was last updated on June 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Kim Tavajian, AGACNP-DNP · NPI 1306291687
Acute Care physician in Winfield, Illinois. Individual provider, active in the CMS NPPES registry since April 25, 2016.
## Identity
- **NPI:** 1306291687 (Entity type: Individual)
- **Enumerated:** April 25, 2016
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 209014079 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 25 NORTH WINFIELD ROAD, Winfield, IL 60190-1295
- **Phone:** (630) 933-2113 · **Fax:** (630) 933-4520
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Central Dupage Physician Group (NPI 1033149844, Carol Stream, IL); Hospitalist Physicians Of Indiana, PC (NPI 1306576277, Fort Wayne, IN); Hospital Medicine Services Of Ohio, Inc. (NPI 1073781597, Mount Gilead, OH); Pennsylvania Hm Associates PC (NPI 1841637865, East Stroudsburg, PA); Hospitalist Physicians Of New Jersey PA (NPI 1588021851, Edison, NJ); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** June 20, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1306291687) · Data from the CMS NPPES public registry.