Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carlos Tavera, MD

Individual provider Internal Medicine Physician · NPI 1942277348

Carlos Tavera, MD is an Internal Medicine in Grand Rapids, Michigan. Qualified in 1987, 39 years ago. Practices with Spectrum Health Hospitals, a 165-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
39
Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

275 Michigan St NE
Grand Rapids, MI 49503-2531
Phone: (616) 391-3777
Fax: (616) 391-3755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4301059687 (MI)

Record details

NPI number1942277348
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 3, 2006
Last updated in NPPESJanuary 13, 2025
Certification dateJanuary 13, 2025
Mailing address100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Spectrum Health Hospitals — 165 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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