SAMON TAVAKOLI-SABOUR (MD) – Neurological Surgery Physician, NPI 1285081646
Neurological Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
155 NEUROSURGERY in WI
Provider Addresses for SAMON TAVAKOLI-SABOUR (MD)
9200 W WISCONSIN AVE
MILWAUKEE, WI 532263522
Phone: (414) 805-8710
Fax: (414) 955-0115
Type: Mailing
7703, Floyd Curl Drive, South Texas Medical Center, San Antonio, Bexar County, Texas, 78229, United States
MEDICAL SCHOOL BUILDING 102F
SAN ANTONIO, TX 78240
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $1,876.
Total Amount is formed as General ($1,876) + Research ($0) + Ownership ($0) = $1,876.
Last reported payment date: 2024-03-06 • Largest payer in this snapshot: Aesculap, Inc. ($1,605).
Total Amount
$1,876
General + Research + Ownership
Payments
20
Total payment records
General Amount
$1,876
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Aesculap, Inc. | $1,605 |
| Medtronic, Inc. | $184 |
| DePuy Synthes Sales Inc. | $88 |
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: 2025-07-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20230721002323 | I | Neurosurgery | WI | TBD |
| I20250728000218 | I | Neurosurgery | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 53226)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | TX | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN | |
| Nurse Practitioner | TX | |
| General Surgery | PA | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| - | PR | |
| Radiation Oncology | TX | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology), Internal Medicine | OK |
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