Kamyar David Tavakoli Physician PLLC
NPI 1396991774 · Internal Medicine Physician · Hollis, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kamyar David Tavakoli Physician PLLC is a Internal Medicine Physician organization in Hollis, NY (NPI 1396991774).
Provider details
- NPI number
- 1396991774
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Daniel Tavakoli, Bookkeeper(718) 217-5200
- License
- 190615 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-08-17
- Last updated
- 2008-08-17
Frequently asked questions
- What is Kamyar David Tavakoli Physician PLLC's NPI number?
- Kamyar David Tavakoli Physician PLLC's National Provider Identifier (NPI) is 1396991774, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kamyar David Tavakoli Physician PLLC?
- Kamyar David Tavakoli Physician PLLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kamyar David Tavakoli Physician PLLC located?
- Kamyar David Tavakoli Physician PLLC's practice location on file with NPPES is 19115 Hillside Ave, Hollis, NY 11423-1941.
- What is Kamyar David Tavakoli Physician PLLC's phone number?
- The practice phone number listed in the NPPES registry for Kamyar David Tavakoli Physician PLLC is (718) 217-5200.
- Does Kamyar David Tavakoli Physician PLLC accept Medicare?
- Kamyar David Tavakoli Physician PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kamyar David Tavakoli Physician PLLC?
- The authorized official listed on Kamyar David Tavakoli Physician PLLC's NPPES record is Daniel Tavakoli, Bookkeeper. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kamyar David Tavakoli Physician PLLC's NPI active?
- Yes — Kamyar David Tavakoli Physician PLLC's NPI (1396991774) is active in the NPPES registry as of the last update on 2008-08-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.