Payal Jhawar, MD LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PAYAL JHAWAR, MD LLC

Doing business as

Revive MD Direct Primary Care

Practice address

2810 Manatee Ave E
Bradenton, FL 34208-1828

Phone

(941) 777-5118

Fax

(469) 242-9547

NPI assigned

Sep 7, 2021

Last updated

Sep 7, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Payal Jhawar, MDNPI 1851617427

Title

Founder and Ceo

Phone

(860) 519-2376

Specialties & licenses 1

Addresses

Other names 1

• Revive MD Direct Primary Care Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Payal Jhawar, MD

  • Internal Medicine Physician
  • Bradenton, FL
  • NPI 1851617427
  Authorized official Same address or phone

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1609545326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 CHANTILLY TRL",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342125020",
            "telephone_number": "860-519-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 MANATEE AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081828",
            "telephone_number": "941-777-5118",
            "fax_number": "469-242-9547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYAL JHAWAR, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A",
        "authorized_official_last_name": "JHAWAR",
        "authorized_official_first_name": "PAYAL",
        "authorized_official_title_or_position": "FOUNDER AND CEO",
        "authorized_official_telephone_number": "860-519-2376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revive MD Direct Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha R Patterson
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• Jane Ann Pavich, LCSW
• Christian Pawelek, MD
• Pax Home Care LLC
• Julia Mignon Payton, LDO
• Viviana Paz Gomez, MD
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• Mercedes Maria Peck
• Patricia Ann Peck, LMHC

• Clinic/Center in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.