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GEORGIOS TAVOULAREAS MD
NPI 1639858996
Student in an Organized Health Care Education/Training Program in Vincennes, IN

Active since July 13, 2023PECOS Enrolled
520 S 7TH ST, VINCENNES, IN 47591(812) 885-8520 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 18, 2023, Jul 13, 2023 (2 updates tracked since 2023).

About Georgios Tavoulareas Md NPPES

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

GEORGIOS TAVOULAREAS MD (NPI 1639858996) is an individual student in an organized health care education/training program in Vincennes, Indiana, licensed in Indiana (11023261A) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639858996
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGEORGIOS TAVOULAREASCredential: MD
Location Address520 S 7TH STVincennes, IN 47591-1038
Mailing Address520 S 7th StVincennes, IN 47591-1038 · (812) 885-8520
Phone(812) 885-8520
Sole ProprietorNo
Enumeration DateJuly 13, 2023
Last NPPES UpdateJuly 18, 20232 updates tracked since enumeration
NPPES CertifiedJuly 14, 2023
✔ NPI 1639858996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in IN · 11023261A
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
520 S 7TH ST, Vincennes, IN 47591
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Georgios Tavoulareas Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DENNIS MARTIN JILKA MD
General Practice
520 S 7TH ST
VINCENNES, IN 47591
Knox County (812) 885-6980
DR. ALAN D STEWART M.D.
Internal Medicine
520 S 7TH ST
VINCENNES, IN 47591
Knox County (812) 885-3601
MR. RYAN ROSS BOND PHARMD
Pharmacist
520 S 7TH ST
VINCENNES, IN 47591
Knox County (812) 882-5220
ELLEN KEYES PHARM.D.
Pharmacist
520 S 7TH ST
VINCENNES, IN 47591
Knox County (812) 885-3863
MARTIN CHRISTOPHER JAMES WINKLER
Physician Assistant
520 S 7TH ST
VINCENNES, IN 47591
Knox County (812) 882-5220
MR. MARK E. SHIELDS R.PH.
Pharmacist
520 S 7TH ST, PHARMACY DEPARTMENT
VINCENNES, IN 47591
Knox County (812) 885-3348
ALLYSON MICHELLE WEHRHEIM PA-C
Physician Assistant (Medical)
520 S 7TH ST
VINCENNES, IN 47591
Knox County (812) 882-5220
DR. SHAWN CURRY MD
Internal Medicine
520 S 7TH ST
VINCENNES, IN 47591
Knox County (812) 885-6990

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 Georgios Tavoulareas's NPI number?

The NPI number for Georgios Tavoulareas is 1639858996. It was assigned to this individual provider in the NPPES registry on July 13, 2023.

Where is Georgios Tavoulareas located?

Georgios Tavoulareas practices at 520 S 7th St, Vincennes, IN 47591. The listed phone number is (812) 885-8520.

What is Georgios Tavoulareas's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Georgios Tavoulareas enrolled in Medicare?

Yes. Georgios Tavoulareas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Georgios Tavoulareas was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.