Nadia Jivani, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME84335 Issued in FL

Practice address

2919 W Swann Ave Ste 400a
Tampa, FL 33609-4082

Phone

(813) 871-2959

Fax

(813) 877-8891

NPI assigned

Feb 15, 2006

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

Other identifiers 1

Other names 1

• Nadia Pepermintwaca Former name

Medicare fee-for-service enrollment

Enrolled in FL

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

Internal Medicine

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians

Verimed Health Group South Tampa LLCGroup PAC ID 3678709078, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida South Tampa Hospital Hospital, Tampa, FL, CCN 100206

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Millennium Physician Group LLC

  • Family Medicine Physician
  • Fort Myers, FL
  • NPI 1811122880

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Verimed Health Group South Tampa LLC

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1801140561
  Medicare reassignment Care Compare group NPD
• Millennium Physician Group LLC

  • Family Medicine Physician
  • Brooksville, FL
  • NPI 1073131702
  NPD
• Primecare South Tampa, LLC

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1538357454
  NPD

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

• West Florida - MHT LLC

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1871935072
  Care Compare affiliation

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1245204254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 W. SWANN AVE",
            "address_2": "STE 400A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33609",
            "telephone_number": "813-871-2959",
            "fax_number": "813-877-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 W SWANN AVE STE 400A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094082",
            "telephone_number": "813-871-2959",
            "fax_number": "813-877-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIVANI",
        "first_name": "NADIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME84335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267367300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NADIA",
            "last_name": "PEPERMINTWACA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jimmie Jean Wilbur MD PA
• Jin M Kim D O P a
• Guohua Jin
• Lauren Jindia, DO
• Saphyre Jiron
• Aly-Hussain Jiwa
• JJ Lotus Therapy Lounge, LLC
• Jleon Angels LLC
• JLM Partnership, LLC
• JM West Coast Inc

• Internal Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.