DR. MARIO TAVAKOLI DO
NPI 1710627195
Internal Medicine in Chicago, IL

Q: What is Mario Tavakoli's NPI number?

The NPI number for Mario Tavakoli is 1710627195. It was assigned to this individual provider in the NPPES registry on March 31, 2022.

Q: What is Mario Tavakoli's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Mario Tavakoli was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.

Active since March 31, 2022PECOS EnrolledAccepts Medicare Assignment

1740 W TAYLOR ST, CHICAGO, IL 60612(312) 996-2933 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Dr. Mario Tavakoli Do NPPES

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

DR. MARIO TAVAKOLI DO (NPI 1710627195) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (036173752) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with University Of Illinois Hospital And Clinics, and is a graduate of Touro Un Col Of Osteopathic Medicine, New York (2022).

NPPES Registry Identity

NPI1710627195

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. MARIO TAVAKOLICredential: DO

Location Address1740 W TAYLOR STChicago, IL 60612-7232

Mailing Address820 South Wood Street, Suite 100, Mc 675Chicago, IL 60612 · (312) 996-2933

Phone(312) 996-2933

Sole ProprietorNo

Medical School CMSTouro Un Col Of Osteopathic Medicine, New YorkGraduated 2022

Enumeration DateMarch 31, 2022

Last NPPES UpdateApril 29, 2025

NPPES CertifiedApril 29, 2025

✔ NPI 1710627195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IL · 036173752

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1740 W TAYLOR ST, Chicago, IL 60612

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Other Identifiers 1

Other036173752IL · Illinois License Number

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

Dr. Mario Tavakoli Do 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 ID6709267859

PECOS Enrollment IDI20250506000989

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.

Medicare Billing Reassignment

Medicare enrollment records show Mario Tavakoli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Board Of Trustees Of The University Of Illinois

Same address

Anesthesiology

1740 W TAYLOR ST
Chicago, IL 60612

Reassigned Medicare billing, Illinois enrollment
2,127 clinicians in this Medicare group

NPI 1013136282 (312) 996-4020

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

University Of Illinois Hospital And Clinics

Acute Care Hospitals · Chicago, IL

2/5 CMS rating

OwnershipGovernment - State

CMS Certification Number140150

Location1740 West Taylor St Suite 1400Chicago, IL 60612 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

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.

MRS. CATHLEEN CONWAY JENSEN OTR/L

Occupational Therapist

1740 W TAYLOR ST, C100
CHICAGO, IL 60612

Cook County (312) 996-3700

KELLY M HOYERT PA-C

Physician Assistant (Surgical)

1740 W TAYLOR ST, 3F OCC
CHICAGO, IL 60612

Cook County (312) 355-4300

DR. YI-LOONG COLIN WOON M.D.

Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)