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JOSE TAVAREZ MD
NPI 1396083630
Pediatrics in Lakewood Ranch, FL

Active since January 22, 2013PECOS EnrolledAccepts Medicare Assignment
8430 ENTERPRISE CIR STE 130, LAKEWOOD RANCH, FL 34202(941) 366-3000(941) 366-3002 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Aug 14, 2017, Aug 1, 2017 and 1 more (4 updates tracked since 2017).

About Jose Tavarez Md NPPES

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

JOSE TAVAREZ MD (NPI 1396083630) is an individual pediatrics provider in Lakewood Ranch, Florida, licensed in Florida (ME130063) and active in the NPI registry since January 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1396083630
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJOSE TAVAREZCredential: MD
Location Address8430 ENTERPRISE CIR STE 130Lakewood Ranch, FL 34202-4111
Mailing AddressPo Box 863407Orlando, FL 32886-3407 · (941) 917-2600 · Fax (941) 917-7884
Phone(941) 366-3000
Fax(941) 366-3002
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJanuary 22, 2013
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1396083630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in FL · ME130063✔ Licensed in MS · 22828
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
8430 ENTERPRISE CIR STE 130, Lakewood Ranch, FL 34202
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Jose Tavarez Md 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 ID2668740010
PECOS Enrollment IDI20171011001434
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 Jose Tavarez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Smh Physician Services Inc
7.6 mi
Internal Medicine
1700 S TAMIAMI TRL, 1ST FLOOR FPG ADMINISTRATION
Sarasota, FL 34239
  • Reassigned Medicare billing, Florida enrollment
  • 956 clinicians in this Medicare group
NPI 1346295292 (941) 917-8720

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 34202 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
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 4

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

SARASOTA COUNTY PUBLIC HOSPITAL DISTRICT
Clinic/Center (Federally Qualified Health Center (FQHC))
8430 ENTERPRISE CIR STE 130
LAKEWOOD RANCH, FL 34202
Manatee County (941) 366-3000
CHANCELOR MCCOLLEY PA-C
Physician Assistant
8430 ENTERPRISE CIR STE 130
LAKEWOOD RANCH, FL 34202
Manatee County (941) 366-3000
DEIRDRA MIGUEL MYERS M.D.
Pediatrics
8430 ENTERPRISE CIR STE 130
LAKEWOOD RANCH, FL 34202
Manatee County (941) 366-3000
DR. LISA CATHERINE WITTMANN M.D.
Pediatrics
8430 ENTERPRISE CIR STE 130
LAKEWOOD RANCH, FL 34202
Manatee County (941) 366-3000

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 Jose Tavarez's NPI number?

The NPI number for Jose Tavarez is 1396083630. It was assigned to this individual provider in the NPPES registry on January 22, 2013.

Where is Jose Tavarez located?

Jose Tavarez practices at 8430 Enterprise Cir Ste 130, Lakewood Ranch, FL 34202. The listed phone number is (941) 366-3000.

What is Jose Tavarez's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jose Tavarez enrolled in Medicare?

Yes. Jose Tavarez 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 organization bills Medicare for Jose Tavarez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Tavarez reassigns Medicare benefits to Smh Physician Services Inc (Sarasota, 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 Jose Tavarez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose Tavarez accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Jose Tavarez 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 Jose Tavarez was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.