MICHAEL ANDREW TAVILL MD
NPI 1417030792
Otolaryngology - Pediatric Otolaryngology in Shrewsbury, NJ
About Michael Andrew Tavill Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL ANDREW TAVILL MD (NPI 1417030792) is an individual pediatric otolaryngology provider in Shrewsbury, New Jersey, licensed in New Jersey (25MA06549000) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (1991).
NPPES Registry Identity
Specialties & Licenses 2
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
Michael Andrew Tavill 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.
Medicare Billing Reassignment
Medicare enrollment records show Michael Tavill reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tarrytown, NY 10591
- Reassigned Medicare billing, New Jersey enrollment
- 153 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.
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.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SHREWSBURY, NJ 07702
SHREWSBURY, NJ 07702
SHREWSBURY, NJ 07702
SHREWSBURY, NJ 07702
SHREWSBURY, NJ 07702
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 Michael Tavill's NPI number?
The NPI number for Michael Tavill is 1417030792. It was assigned to this individual provider in the NPPES registry on October 23, 2006.
Where is Michael Tavill located?
Michael Tavill practices at 1131 Broad Street Ste 103, Shrewsbury, NJ 07702. The listed phone number is (732) 389-3388.
What is Michael Tavill's specialty?
The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.
Is Michael Tavill enrolled in Medicare?
Yes. Michael Tavill 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 Michael Tavill's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Tavill reassigns Medicare benefits to Ent And Allergy Associates LLP (Tarrytown, NY). 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 Michael Tavill'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 Michael Tavill was last updated on April 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Michael Andrew Tavill, MD · NPI 1417030792
Pediatric Otolaryngology physician in Shrewsbury, New Jersey. Individual provider, active in the CMS NPPES registry since October 23, 2006.
## Identity
- **NPI:** 1417030792 (Entity type: Individual)
- **Enumerated:** October 23, 2006
- **Primary specialty:** Otolaryngology - Pediatric Otolaryngology · taxonomy 207YP0228X
- **State license:** 25MA06549000 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 1131 BROAD STREET, STE 103, Shrewsbury, NJ 07702
- **Phone:** (732) 389-3388 · **Fax:** (732) 389-3389
## 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:** Ent And Allergy Associates LLP (NPI 1376598326, Tarrytown, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University, class of 1991
## Record status
- **NPPES last updated:** April 1, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1417030792) · Data from the CMS NPPES public registry.