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MIRIAM TAVAKOLY
NPI 1710247192
Physician Assistant in Brooklyn, NY

Active since May 20, 2012PECOS EnrolledAccepts Medicare Assignment
1664 E 14TH ST, SUITE 101, BROOKLYN, NY 11229(718) 998-2350 Get Directions Write a Review

NPPES record last updated: May 20, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miriam Tavakoly NPPES

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

MIRIAM TAVAKOLY (NPI 1710247192) is an individual physician assistant in Brooklyn, New York and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1710247192
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMIRIAM TAVAKOLY
Location Address1664 E 14TH ST, SUITE 101Brooklyn, NY 11229-1155
Mailing AddressPo Box 650067Fresh Meadows, NY 11365-0067 · (917) 605-7453
Phone(718) 998-2350
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateMay 20, 2012
✔ NPI 1710247192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1664 E 14TH ST, Brooklyn, NY 11229
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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 and accepts Medicare assignment

Miriam Tavakoly 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 ID8022491943
PECOS Enrollment IDI20220810001313
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.

Areas of Expertise CMS Part B claims 9

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 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.
152 services85 patients
Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U
This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.
32 services29 patients
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.
32 services27 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
28 services25 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
14 services14 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11229 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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 20

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

MS. BIANCA A PIAZZA
Social Worker
1664 E 14TH ST
BROOKLYN, NY 11229
Kings County (718) 954-3800
KARINA KAPLAN MS, PT
Physical Therapist
1664 E 14TH ST, SUITE 201
BROOKLYN, NY 11229
Kings County (929) 333-9376
BRIAN J BALL
Counselor (Addiction (Substance Use Disorder))
1664 E 14TH ST
BROOKLYN, NY 11229
Kings County (929) 273-7691
TOVA CHAYA GOLDSTEIN
Counselor (Mental Health)
1664 E 14TH ST
BROOKLYN, NY 11229
Kings County (929) 273-7601
IVETTE SALLAS
Counselor
1664 E 14TH ST
BROOKLYN, NY 11229
Kings County (929) 273-7691
SUSAN ABITBOL
Social Worker
1664 E 14TH ST
BROOKLYN, NY 11229
Kings County (929) 273-7690
SHANNEL WILLIAMS
Nurse Practitioner (Psychiatric/Mental Health)
1664 E 14TH ST
BROOKLYN, NY 11229
Kings County (929) 273-7601
MS. CLODA ALEXANDRE GOULBOURNE
Social Worker (School)
1664 E 14TH ST
BROOKLYN, NY 11229
Kings County (929) 273-7601

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 Miriam Tavakoly's NPI number?

The NPI number for Miriam Tavakoly is 1710247192. It was assigned to this individual provider in the NPPES registry on May 20, 2012.

Where is Miriam Tavakoly located?

Miriam Tavakoly practices at 1664 E 14th St Suite 101, Brooklyn, NY 11229. The listed phone number is (718) 998-2350.

What is Miriam Tavakoly's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Miriam Tavakoly enrolled in Medicare?

Yes. Miriam Tavakoly 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.

Is Miriam Tavakoly affiliated with any hospitals?

According to CMS data, Miriam Tavakoly is affiliated with North Shore University Hospital.

When was this NPI record last updated?

The NPPES record for Miriam Tavakoly was last updated on May 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.