Individual provider Active NPI

Jayant C Gajera, M.D.

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1437251386
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0048485 Issued in FL
Practice address
14801 Bruce B Downs Blvd
Tampa, FL 33613-2844
Phone
(813) 971-4400
Fax
(813) 971-1207
NPI assigned
Sep 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 ME0048485 FL Primary

Addresses

Primary practice location

14801 Bruce B Downs Blvd
Tampa, FL 33613-2844

Mailing address

14801 Bruce B Downs Blvd
Tampa, FL 33613-2844
Phone (813) 971-4400

Other identifiers 1

IdentifierTypeStateIssuer
061918300MedicaidFL

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
I20031210000865 FL Practitioner - Internal Medicine 1850297789 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0048485FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jayant C Gajera, M.D., P.a. Internal Medicine CurrentSince Jul 3, 2003 Accepting new patients
Invictus Equity Group, LLC Internal Medicine PastSince Jul 7, 2024 Accepting new patients

Locations

14801 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 941-4400

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437251386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14801 BRUCE B DOWNS BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336132844",
            "telephone_number": "813-971-4400",
            "fax_number": "813-971-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14801 BRUCE B DOWNS BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336132844",
            "telephone_number": "813-971-4400",
            "fax_number": "813-971-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAJERA",
        "first_name": "JAYANT",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0048485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061918300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.