Individual provider Active NPI

David Jativa, MD

  • Internal Medicine Physician
  • North Miami, FL
National Provider Identifier
1720419443
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME126406 Issued in FL
Practice address
14358 Biscayne Blvd
North Miami, FL 33181
Phone
(305) 912-4039
Fax
(305) 909-9686
NPI assigned
Dec 5, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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 ME126406 FL Primary

Addresses

Primary practice location

14358 Biscayne Blvd
North Miami, FL 33181

Mailing address

14358 Biscayne Blvd
North Miami, FL 33181-1206
Phone (305) 912-4039

Other practice location 1

4300 Alton Rd
Miami Beach, FL 33140-2948
Phone (305) 894-6194

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
I20160321001724 FL Practitioner - Internal Medicine 2961709894 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc CurrentSince Feb 29, 2016 Accepting new patients
MD Now Medical Centers Inc CurrentSince Feb 29, 2016 Accepting new patients
Hospital Physician Services of Florida PA Internal Medicine CurrentSince Dec 31, 2016 Accepting new patients

Locations

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

9971 W Flagler St
Miami, FL 33174
Phone (305) 222-8335

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

2007 Palm Beach Lakes Blvd
West Palm Beach, FL 33409

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.

NPI Registry JSON

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

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1720419443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14358 BISCAYNE BLVD",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331811206",
            "telephone_number": "305-912-4039",
            "fax_number": "305-909-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14358 BISCAYNE BLVD",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "33181",
            "telephone_number": "305-912-4039",
            "fax_number": "305-909-9686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 Alton Rd",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "331402948",
            "country_code": "US",
            "telephone_number": "305-894-6194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JATIVA",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-05",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME126406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

Verify at the official NPI Registry.