1. Home
  2. Directory
  3. Illinois
  4. Champaign
  5. Family Medicine
  6. NPI Profile

DR. MAHTAB TASHAKORI MD
NPI 1508895780
Family Medicine in Champaign, IL

Active since July 01, 2006
1802 SOUTH MATTIS AVE, CHAMPAIGN, IL 61821(217) 326-1220 Get Directions Write a Review

NPPES record last updated: November 2, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mahtab Tashakori Md NPPES

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

DR. MAHTAB TASHAKORI MD (NPI 1508895780) is an individual family medicine provider in Champaign, Illinois, licensed in Illinois (036113377) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1508895780
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MAHTAB TASHAKORICredential: MD
Location Address1802 SOUTH MATTIS AVEChampaign, IL 61821
Mailing AddressPo Box 6002Urbana, IL 61803-6002 · (217) 337-4105
Phone(217) 326-1220
Sole ProprietorNo
Enumeration DateJuly 1, 2006
Last NPPES UpdateNovember 2, 2009
✔ NPI 1508895780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036113377
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1802 SOUTH MATTIS AVE, Champaign, IL 61821
Open in Google Maps ↗

Other Identifiers 5

Medicare PIN834340015IL
Medicare PIN553180031IL
Other553180IL · Medicare Group Number
Other834340IL · Medicare Group Number
Medicare UPINI42445

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
33 services33 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services17 patients

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 Mahtab Tashakori's NPI number?

The NPI number for Mahtab Tashakori is 1508895780. It was assigned to this individual provider in the NPPES registry on July 1, 2006.

Where is Mahtab Tashakori located?

Mahtab Tashakori practices at 1802 South Mattis Ave, Champaign, IL 61821. The listed phone number is (217) 326-1220.

What is Mahtab Tashakori's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mahtab Tashakori was last updated on November 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.