PHILIP J TAVARES (M.D.) – Preventive Medicine/Occupational Environmental Medicine Physician, NPI 1073630612

PHILIP J TAVARES (M.D.) is a healthcare provider. based in Addison, Texas. specializing in Preventive Medicine/Occupational Environmental Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 7275 (NH). The NPI Number for PHILIP J TAVARES (M.D.) is 1073630612

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
PHILIP J TAVARES (M.D.)
NPI
1073630612
Phone
(972) 364-8000
Address
5080 SPECTRUM DR
Enumeration Date
26 March 2007
Last Update Date
7 February 2010

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4107783300
Graduation Year
1979 (47 years ago)
PAC ID
6800831041
Group Practice PAC ID
0749220671
Professional Enrollment ID
I20121008000336
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for PHILIP J TAVARES (M.D.)

  • 5080 SPECTRUM DR

    SUITE 1200 WEST

    ADDISON, TX 750014648

    Phone: (972) 364-8000

    Type: Mailing

  • 14A BROAD ST

    NASHUA, NH 030642038

    Phone: (615) 778-4066

    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: 2012-10-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121008000336IEmergency MedicineMDTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99283Emergency department visit with low level of medical decision making212199$0
99284Emergency department visit with moderate level of medical decision making7875$0
View full utilization report →

Insurance plans in this area (ZIP 75001)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749220671View full group profile

Reviews

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Frequently asked questions

What identifier follows PHILIP J TAVARES (M.D.) across health systems?
The NPI 1073630612 uniquely identifies PHILIP J TAVARES (M.D.) in U.S. healthcare data.
Quick check: is PHILIP J TAVARES (M.D.) active?
Public NPPES data shows PHILIP J TAVARES (M.D.) with an active NPI status right now.
What type of care does PHILIP J TAVARES (M.D.) provide?
PHILIP J TAVARES (M.D.)'s profile centers on Preventive Medicine/Occupational Environmental Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to PHILIP J TAVARES (M.D.)?
PHILIP J TAVARES (M.D.) shows a connection to Addison, Texas in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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