TARA GAVCOVICH MD
NPI 1568966521
Pediatrics - Pediatric Nephrology in Miami, FL

Active since March 22, 2018PECOS EnrolledAccepts Medicare Assignment
1611 NW 12TH AVE, MIAMI, FL 33136(305) 585-6726(305) 585-7025 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 16, 2024, Aug 5, 2024, May 13, 2024 and 2 more (5 updates tracked since 2018).

About Tara Gavcovich Md NPPES

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

TARA GAVCOVICH MD (NPI 1568966521) is an individual pediatric nephrology provider in Miami, Florida, licensed in Florida (ME149763) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of George Washington University School Of Medicine (2018).

NPPES Registry Identity

NPI1568966521
Entity TypeIndividualFemale
Primary Taxonomy2080P0210X
Provider Legal NameTARA GAVCOVICHCredential: MD
Location Address1611 NW 12TH AVEMiami, FL 33136-1005
Mailing Address1611 Nw 12th AveMiami, FL 33136-1005 · (305) 585-6726 · Fax (305) 585-7025
Fax(305) 585-7025
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2018
Enumeration DateMarch 22, 2018
Last NPPES UpdateAugust 16, 20245 updates tracked since enumeration
NPPES CertifiedAugust 16, 2024
✔ NPI 1568966521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
License✔ Licensed in FL · ME149763
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
Also ListedPediatricsTaxonomy 208000000X · License ME149763 (FL)
1611 NW 12TH AVE, Miami, FL 33136

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tara Gavcovich 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 ID9032652599
PECOS Enrollment IDI20240625002026
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

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.

Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1611 NW 12TH AVE, PHARMACY ADM. OFFICES/EAST TOWER BASEMENT 069
MIAMI, FL 33136
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pediatrics (Pediatric Cardiology)
1611 NW 12TH AVE
MIAMI, FL 33136
Nurse Practitioner (Adult Health)
1611 NW 12TH AVE
MIAMI, FL 33136
Anesthesiology
1611 NW 12TH AVE, CENTRAL 300
MIAMI, FL 33136
Pathology (Anatomic Pathology)
1611 NW 12TH AVE
MIAMI, FL 33136
Surgery
1611 NW 12TH AVE
MIAMI, FL 33136

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 Gavcovich's NPI number?

The NPI number for Tara Gavcovich is 1568966521. It was assigned to this individual provider in the NPPES registry on March 22, 2018.

Where is Tara Gavcovich located?

Tara Gavcovich practices at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 585-6726.

What is Tara Gavcovich's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Tara Gavcovich enrolled in Medicare?

Yes. Tara Gavcovich 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.

What insurance does Tara Gavcovich accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Tara Gavcovich 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.

Is Tara Gavcovich affiliated with any hospitals?

According to CMS data, Tara Gavcovich is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Tara Gavcovich was last updated on August 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.