NPIMap

Individual provider Active NPI

Avinash Laxman Jadhav, M.D.

  • Orthopaedic Surgery Physician
  • Brooksville, FL
National Provider Identifier
1447211545
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4301091180 Issued in MI
Practice address
17222 Hospital Blvd Ste 322
Brooksville, FL 34601-8925
Phone
(352) 565-5999
Fax
(352) 565-4449
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME137486 FL
Orthopaedic Surgery Physician 207X00000X 4301091180 MI Primary

Addresses

Primary practice location

17222 Hospital Blvd Ste 322
Brooksville, FL 34601-8925

Mailing address

PO Box 333
Lecanto, FL 34460-0333
Phone (352) 565-5999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060117000611 FL Practitioner - Orthopedic Surgery 7315931573 Reassigns benefits to 1 organization
I20080225000275 MI Practitioner - Orthopedic Surgery 7315931573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17222 Hospital Blvd
Suite 322
Brooksville, FL 34601-8925
Phone (352) 565-5999

Hospital & facility affiliations

  • Pinnacle Home Care of Spring Hill Inc Home health agency, Spring Hill, FL, CCN 108068
  • Tampa General Hospital Brooksville Hospital, Brooksville, FL, CCN 100071
  • Adventhealth North Pinellas Hospital, Tarpon Springs, FL, CCN 100055

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME137486FLMDOrthopaedic Surgery Physician
4301091180MIMDOrthopaedic Surgery Physician

Practice roles (10 of 12)

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Avinash L. Jadhav MD, PA Orthopaedic Surgery CurrentSince Jul 11, 2021 Accepting new patients
Port Huron Physicians Medical Group PC CurrentSince Dec 23, 2017 Accepting new patients
Adel a Bishay MD PA PastSince Sep 17, 2021 Accepting new patients
Fairmont Physicians Inc Past Accepting new patients
North Star Medical PC Orthopaedic Surgery Past Accepting new patients
Creighton University Past Accepting new patients
Michigan State University Kalamazoo Center for Medical Studies Past Accepting new patients
Creighton University Past Accepting new patients
Western Michigan University School of Medicine Past Accepting new patients

Locations

3402 N Lecanto Hwy
Ste C
Beverly Hills, FL 34465
Phone (352) 527-4800

17222 Hospital Blvd
Ste 322
Brooksville, FL 34601
Phone (352) 565-5999

4190 24th Ave
Ste 208
Fort Gratiot, MI 48059
Phone (810) 216-4000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ajadhav296087@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 10

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1447211545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 333",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344600333",
            "telephone_number": "352-565-5999",
            "fax_number": "352-565-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17222 HOSPITAL BLVD STE 322",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346018925",
            "telephone_number": "352-565-5999",
            "fax_number": "352-565-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JADHAV",
        "first_name": "AVINASH",
        "middle_name": "LAXMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME137486",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301091180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

Verify at the official NPI Registry.