DR. KRISTINA TANSAVATDI M.D.
NPI 1932397007
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Westlake Village, CA
- Individual
- Female
- Otolaryngology
- Otolaryngology/Facial Plastic Surgery
- PECOS Enrolled
- Opted-Out Medicare
About KRISTINA TANSAVATDI
This page provides the complete NPI Profile along with additional information for Kristina Tansavatdi, a provider established in Westlake Village, California with a medical specialization in Otolaryngology, focusing in otolaryngology/facial plastic surgery . The healthcare provider is registered in the NPI registry with number 1932397007 assigned on October 2007. The practitioner's primary taxonomy code is 207YX0905X with license number A116470 (CA). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1932397007 Verify this NPI
- Provider Name
- DR. KRISTINA TANSAVATDI M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2835 TOWNSGATE RD STE 100 WESTLAKE VILLAGE, CA 91361
- Location Phone
- (805) 715-4996
- Location Fax
- (805) 715-4995
- Mailing Address
- 2835 TOWNSGATE RD STE 100 WESTLAKE VILLAGE, CA 91361
- Mailing Phone
- (805) 715-4996
- Mailing Fax
- (805) 715-4995
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-13-2007
- Last Update Date
- 03-03-2024
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Kristina Tansavatdi opted out of Medicare effective on 04-01-2017 until 04-01-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Secondary Locations
- 2835 Townsgate Rd Ste 101
Westlake Village, CA 91361
(805) 715-4996
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Otolaryngology Otolaryngology/Facial Plastic Surgery
- Taxonomy Code
- 207YX0905X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A116470
- License State
- CA
- Taxonomy Description
- An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207YX0007X | Allopathic & Osteopathic Physicians | Otolaryngology | A116470 (CA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1336497353 | OTHER (01) | NPI |
Medicare Participation & PECOS Enrollment Status
Kristina Tansavatdi is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 04-01-2017
Opt-Out End Date: 04-01-2027
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932397007, enumerated as an "individual" on October 13, 2007.
The provider is located at 2835 TOWNSGATE RD STE 100 WESTLAKE VILLAGE, CA 91361 and the phone number is (805) 715-4996.
Otolaryngology with taxonomy code 207YX0905X and a focus in Otolaryngology/Facial Plastic Surgery.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
