Individual provider

Michael Tavill, MD

Pediatric Otolaryngology Physician Sleep Medicine (Otolaryngology) Physician Medicare enrolled

Michael Tavill, MD is a Pediatric Otolaryngology Physician in Shrewsbury, NJ, registered under NPI 1417030792. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 1131 BROAD STREET STE 103, Shrewsbury, NJ 07702. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1131 BROAD STREET STE 103, Shrewsbury, NJ 07702 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
25MA06549000 NJ Pediatric Otolaryngology Physician primary
25MA06549000 NJ Sleep Medicine (Otolaryngology) Physician

This provider holds licence 25MA06549000 issued in NJ. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Otolaryngology
PAC ID
6305980152
Enrollment ID
I20100218000148

Medicare enrolment is recorded as approved under the provider type Practitioner - Otolaryngology. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Pediatric Otolaryngology covers

A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. NUCC Health Care Provider Taxonomy, code 207YP0228X
Allopathic & Osteopathic Physicians Otolaryngology Pediatric Otolaryngology

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207YP0228X Pediatric Otolaryngology Physician Pediatric Otolaryngology 25MA06549000 NJ primary
207YS0012X Sleep Medicine (Otolaryngology) Physician Sleep Medicine 25MA06549000 NJ

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1417030792 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateOct 23, 2006
Last updatedApr 1, 2019
StatusActive
Sole proprietorNo
CredentialMD
Practice address 1131 BROAD STREET
STE 103
Shrewsbury, NJ 07702
(732) 389-3388
Fax (732) 389-3389
Mailing address 660 WHITE PLAINS RD FL 4
Tarrytown, NY 10591
The last update on file is Apr 1, 2019. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1417030792 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 4 1 7 0 3 0 7 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 4 2 7 0 3 0 7 9

Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1417030792?
NPI 1417030792 is the National Provider Identifier assigned to Michael Tavill, MD in Shrewsbury, NJ. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Pediatric Otolaryngology cover?
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in…
How do I contact Michael Tavill, MD?
The phone number on file with NPPES is (732) 389-3388, last updated Apr 1, 2019. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Michael Tavill, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1417030792 a valid number?
Yes. 1417030792 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.