Divyaswapnika Javvaji, M.D

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

R4244 Issued in TX

Practice address

452 State Highway 121 Unit 130
Coppell, TX 75019-4275

Phone

(972) 393-1699

Fax

(972) 393-1702

NPI assigned

May 24, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Geriatric MedicineAlso: Internal Medicine

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• DFW Home Health Home health agency, Denton, TX, CCN 679657
• Baylor Scott & White Medical Center at Irving Hospital, Irving, TX, CCN 450079

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JIDFDD/Endpoint/JIDFDD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prime MD Geriatrics, PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Coppell, TX
  • NPI 1487156139
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baylor Medical Center at Irving

  • Psychiatric Hospital Unit
  • Irving, TX
  • NPI 1114268471
  Care Compare affiliation
• Baylor Medical Center at Irving

  • General Acute Care Hospital
  • Irving, TX
  • NPI 1992700983
  Care Compare affiliation
• LHCG Cxxxvii, LLC

  • Home Health Agency
  • Denton, TX
  • NPI 1962917070
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1003176975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 STATE HIGHWAY 121 UNIT 130",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194275",
            "telephone_number": "972-393-1699",
            "fax_number": "972-393-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 STATE HIGHWAY 121 UNIT 130",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194275",
            "telephone_number": "972-393-1699",
            "fax_number": "972-393-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVVAJI",
        "first_name": "DIVYASWAPNIKA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-24",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "R4244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Subha James
• Art Fred Janolo, DC
• Abigail Jared
• Jason Marchetti MD PA
• Jaunt Healthcare PLLC
• Trey Jeffers
• Christina Jefferson, DC
• Gabrielle Jerke
• Grayson Matthew Jerke, DPT
• Priyanka Jha

• Geriatric Medicine (Internal Medicine) Physician in Coppell, TX
• Providers in Coppell, TX by specialty
• Geriatric Medicine (Internal Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.