Individual provider Active NPI

Mohammad T Javed, MD

  • Legal Medicine
  • Greenacres, FL
National Provider Identifier
1730125170
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
ME0071079 Issued in FL
Practice address
6447 Lake Worth Rd
Greenacres, FL 33463-3007
Phone
(561) 433-1700
Fax
(561) 642-7587
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X ME0071079 FL Primary

Addresses

Primary practice location

6447 Lake Worth Rd
Greenacres, FL 33463-3007

Mailing address

6447 Lake Worth Rd
Greenacres, FL 33463-3007
Phone (561) 433-1700

Other identifiers 1

IdentifierTypeStateIssuer
252537200MedicaidFL

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
I20040729000166 FL Practitioner - Internal MedicinePractitioner - Pain Management 1658341672 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pain Management
Education
Albert Einstein College of Medicine of Yeshiva University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mohammad T Javed MD PAGroup PAC ID 3870563877, 4 clinicians

Practice addresses (Care Compare)

11476 Okeechobee Blvd
Royal Palm Beach, FL 33411-8715
Phone (561) 204-5111

6447 Lake Worth Rd
Greenacres, FL 33463-3007

Hospital & facility affiliations

  • Activa Home Health Home health agency, Boynton Beach, FL, CCN 109143

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0071079FLMDLegal Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Express MD CurrentSince Dec 1, 2014 Accepting new patients
Mohammad T Javed MD PA CurrentSince Nov 5, 2003 Accepting new patients
Mohammad T Javed, Mdpa CurrentSince Dec 12, 1997 Accepting new patients
Mohammad T Javed, MD PA Past Accepting new patients
Mohammad T Javed, Mdpa Past Accepting new patients
Mohammad T Javed MD.PA Legal Medicine Past Accepting new patients

Locations

6447 Lake Worth Rd
Greenacres, FL 33463
Phone (561) 204-5111

11476 Okeechobee Blvd
Royal Palm Beach, FL 33411
Phone (561) 204-5111

Interoperability endpoints

  • Direct secure messaging: mohammad.javed.1@32894.direct.athenahealth.com

Organizations & group practices 6

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1730125170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6447 LAKE WORTH RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633007",
            "telephone_number": "561-433-1700",
            "fax_number": "561-642-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6447 LAKE WORTH RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633007",
            "telephone_number": "561-433-1700",
            "fax_number": "561-642-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVED",
        "first_name": "MOHAMMAD",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "FL",
            "license": "ME0071079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252537200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

Verify at the official NPI Registry.