Javier R Ayala, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME155736 Issued in FL

Practice address

20646 Wilderness Lake Blvd
Land O Lakes, FL 34637-7861

Phone

(813) 996-4932

Fax

(813) 996-9713

NPI assigned

Jun 19, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: javier.ayala.1@29867.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/2733/brand/1/csg/1/fhir/r4

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.

• Sun Country Pediatrics, PLLC

  • Pediatrics Physician
  • Spring Hill, FL
  • NPI 1073821674

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1780244848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20646 WILDERNESS LAKE BLVD",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346377861",
            "telephone_number": "813-996-4932",
            "fax_number": "813-996-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20646 WILDERNESS LAKE BLVD",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346377861",
            "telephone_number": "813-996-4932",
            "fax_number": "813-996-9713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYALA",
        "first_name": "JAVIER",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-19",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME155736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113860900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jane Young Arthur, LCSW
• Association Home Care Inc
• Danielle D Atherton-Bonner
• Jill M Atwell, OT
• Avatar Ca
• B.R.a.D.D.Y. Services, Inc.
• Youssef Badawi
• Mariah Baesel, MEDICAL MASSAGE THER
• Melissa Baez-Torres, MS, BCBA
• Aide Baez, ARNP

• All providers in Land O Lakes, FL
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.