TANVIR M DARA (MD) – Internal Medicine Physician, NPI 1366409906
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for TANVIR M DARA (MD)
4475 West Village Parkway
Ellenwood, GA 302942634
Phone: (561) 998-8889
Type: Location
4475 WEST VILLAGE PARKWAY
ELLENWOOD, GA 302942634
Phone: (561) 998-8889
Type: Mailing
15 S MAIN ST STE 270
JAMESTOWN, NY 147016629
Phone: (716) 489-3144
Fax: (716) 489-3152
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-12-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050705000114 | I | Emergency Medicine | NY | TBD |
| I20130104000177 | I | Internal Medicine | VA | TBD |
| I20150428002092 | I | Emergency Medicine | FL | TBD |
| I20170606000686 | I | Internal Medicine | GA | TBD |
| I20211214000788 | I | Emergency Medicine | MI | TBD |
| I20211222000568 | I | Emergency Medicine | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 547 | 518 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 16 | 15 | $0 |
Insurance plans in this area (ZIP 30294)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NY | |
| Physician Assistant | NY | |
| Physician Assistant | NY | |
| Nurse Practitioner | FL | |
| - | TX | |
| Physician Assistant | NY | |
| - | NY | |
| Physician Assistant | NY | |
| - | MD | |
| Nurse Practitioner | NY |
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