Individual provider Active NPI

Houman Javedan, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Roxbury Crossing, MA
National Provider Identifier
1487892360
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
240825 Issued in MA
Practice address
1620 Tremont St FL 3
Roxbury Crossing, MA 02120-1613
Phone
(352) 234-3789
NPI assigned
Jan 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 240825 MA Primary

Addresses

Primary practice location

1620 Tremont St FL 3
Roxbury Crossing, MA 02120-1613

Mailing address

1620 Tremont St FL 3
Roxbury Crossing, MA 02120-1613
Phone (352) 234-3789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, FL, PA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20110719000409 MA Practitioner - Geriatric MedicinePractitioner - Internal Medicine 7517135544 Reassigns benefits to 1 organization
I20250224002126 FL Practitioner - Internal Medicine 7517135544 Reassigns benefits to 1 organization
Practice locations: Miami, FL
I20251204000153 PA Practitioner - Internal Medicine 7517135544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
240825MAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham and Women's Hospital Current Accepting new patients
Brigham & Womens Physicians Organization Inc CurrentSince May 30, 2015 Accepting new patients
FC Clinical Services of Florida PA CurrentSince Feb 1, 2025 Accepting new patients

Locations

4500 Newberry Rd
Gainesville, FL 32607
Phone (352) 367-2310

9825 NE 2nd Ave
Unit 530187
Miami, FL 33153
Phone (352) 200-2872

221 Longwood Ave
Boston, MA 02115
Phone (617) 732-4918

75 Francis St
Boston, MA 02115

375 Boylston St
Brookline, MA 02445
Phone (508) 718-4010

833 Chestnut St
Ste 1220
Philadelphia, PA 19107
Phone (352) 200-2872

Interoperability endpoints

  • Direct secure messaging: javedan.houman.bwh@direct.partners.masshiway.net

Organizations & group practices 3

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 1

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": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1487892360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 TREMONT ST FL 3",
            "city": "ROXBURY CROSSING",
            "state": "MA",
            "postal_code": "021201613",
            "telephone_number": "352-234-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 TREMONT ST FL 3",
            "city": "ROXBURY CROSSING",
            "state": "MA",
            "postal_code": "021201613",
            "telephone_number": "352-234-3789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVEDAN",
        "first_name": "HOUMAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-30",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MA",
            "license": "240825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roxbury Crossing, MA

Sources for this page

Verify at the official NPI Registry.