Payal Jhawar, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME122848 Issued in FL

Practice address

2810 Manatee Ave E
Bradenton, FL 34208-1828

Phone

(941) 777-5118

NPI assigned

Apr 7, 2010

Last updated

Sep 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2022 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Payal Jhawar, MD LLC

  dba Revive MD Direct Primary Care

  • Clinic/Center
  • Bradenton, FL
  • NPI 1609545326
  Authorized official Same address or phone
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1851617427",
    "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JHAWAR",
        "first_name": "PAYAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-07",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "52087",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME122848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016754300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremy D. McConnell, MD, PA
• Jessica Bledsoe Counseling Services, LLC
• Victoria Marie Jessie
• Melinda B Jeter, PA-C
• Ashley Jette
• Sara Jimenez-Bruce
• Harmony Jimenez, RBT
• Josie JN Gilles, MD
• Joan Blackford-Heintz, PA.
• Joel Garcia Boss DMD P.a (JGBoss Dental Care)

• Internal Medicine Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.