Individual provider Active NPI

Eli Gavi, M.D.

  • Pulmonary Disease Physician
  • Clearwater, FL
National Provider Identifier
1609049980
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME101250 Issued in FL
Practice address
430 Morton Plant St
Suite 405
Clearwater, FL 33756-3398
Phone
(727) 443-0611
Fax
(727) 461-5493
NPI assigned
Apr 8, 2008
Last updated
Aug 5, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME101250 FL Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME101250 FL
Internal Medicine Physician 207R00000X ME101250 FL
Sleep Medicine (Internal Medicine) Physician 207RS0012X ME101250 FL

Addresses

Primary practice location

430 Morton Plant St
Suite 405
Clearwater, FL 33756-3398

Mailing address

430 Morton Plant St
Suite 405
Clearwater, FL 33756-3398
Phone (727) 443-0611

Other identifiers 2

IdentifierTypeStateIssuer
P01118490OtherRR MEDICARE
000205700MedicaidFL

Other names 1

  • Dr. Eli Gavi Professional name

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
I20080715000693 FL Practitioner - Pulmonary DiseasePractitioner - Family PracticePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 6507826252 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians
Bay Area Chest Physicians P aGroup PAC ID 0941299010, 15 clinicians

Practice addresses (Care Compare)

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

300 Pinellas St
Clearwater, FL 33756-3804
Phone (727) 461-8231

430 Morton Plant St
Suite 405
Clearwater, FL 33756-3394
Phone (727) 443-0611

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. Internal Medicine CurrentSince Feb 2, 2015 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Feb 2, 2015 Accepting new patients
Bay Area Chest Physicians P a Internal Medicine CurrentSince Jul 1, 2008 Accepting new patients
Washington Hospital Center Corp PastSince Jan 1, 1990 Accepting new patients
Washington Hospital Center PastSince Jan 1, 1990 Accepting new patients
Washington Hospital Center PastSince Jan 1, 1990 Accepting new patients
Washington Hospital Center Corp PastSince Jan 1, 1990 Accepting new patients

Locations

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

303 Pinellas St
Ste 230
Clearwater, FL 33756
Phone (727) 442-4188

430 Morton Plant St
Ste 405
Clearwater, FL 33756
Phone (727) 443-0611

616 E St
Clearwater, FL 33756
Phone (727) 443-0611

1840 Mease Dr
Ste 104
Safety Harbor, FL 34695
Phone (727) 216-8025

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: eli.gavi@bacp.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HEFFBA

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1609049980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 MORTON PLANT ST",
            "address_2": "SUITE 405",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563398",
            "telephone_number": "727-443-0611",
            "fax_number": "727-461-5493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 MORTON PLANT ST",
            "address_2": "SUITE 405",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563398",
            "telephone_number": "727-443-0611",
            "fax_number": "727-461-5493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVI",
        "first_name": "ELI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-08",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME101250",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME101250",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME101250",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "FL",
            "license": "ME101250",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01118490",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000205700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELI",
            "last_name": "GAVI",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.