Individual provider Active NPI

Hayath Javeed, MD

  • Internal Medicine Physician
  • Holiday, FL
National Provider Identifier
1295738938
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME71161 Issued in FL
Practice address
4904 Moog Rd
Holiday, FL 34690-1857
Phone
(727) 944-5055
Fax
(727) 942-0486
NPI assigned
May 26, 2005
Reactivated
Mar 21, 2006
Last updated
Feb 2, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME71161 FL Primary

Addresses

Primary practice location

4904 Moog Rd
Holiday, FL 34690-1857

Mailing address

4904 Moog Rd
Holiday, FL 34690-1857
Phone (727) 944-5055

Other identifiers 1

IdentifierTypeStateIssuer
257115300MedicaidFL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100803001327 FL Practitioner - Internal Medicine 6204969835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4904 Moog Rd
Holiday, FL 34690-1857
Phone (727) 944-5055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Shahina Javeed MD PA Internal Medicine Current Accepting new patients
Hayath Javeed MD PA CurrentSince Oct 25, 2009 Accepting new patients

Locations

4904 Moog Rd
Holiday, FL 34690
Phone (727) 934-5765

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1117065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422835200000",
    "number": "1295738938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4904 MOOG RD",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346901857",
            "telephone_number": "727-944-5055",
            "fax_number": "727-942-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4904 MOOG RD",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346901857",
            "telephone_number": "727-944-5055",
            "fax_number": "727-942-0486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVEED",
        "first_name": "HAYATH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-26",
        "last_updated": "2015-02-02",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME71161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257115300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holiday, FL

Sources for this page

Verify at the official NPI Registry.