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

Genesis Taveras

Individual provider Physician Assistant · NPI 1578131017

Genesis Taveras is a Physician Assistant in Arlington Heights, Illinois. Qualified in 2022, 4 years ago. Practices with Innovative Pain Specialists LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2021

Practice location Address checks out

2101 S Arlington Heights Rd Ste 165
Arlington Heights, IL 60005-4142
Phone: (847) 593-6800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085.009066 (IL)

Record details

NPI number1578131017
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 11, 2021
Last updated in NPPESApril 8, 2023
Certification dateApril 8, 2023
Mailing address2101 S Arlington Heights Rd Ste 165, Arlington Heights, IL 60005-4142

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Innovative Pain Specialists Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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