Individual provider Active NPI

Jaya Badhwar Kumar, MD

  • Ophthalmology Physician
  • Orlando, FL
National Provider Identifier
1871855049
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME134614 Issued in FL
Practice address
95 Columbia St
Orlando, FL 32806-1101
Phone
(407) 849-9621
Fax
(407) 420-4056
NPI assigned
Jun 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X ME134614 FL
Ophthalmology Physician 207W00000X ME134614 FL Primary

Addresses

Primary practice location

95 Columbia St
Orlando, FL 32806-1101

Mailing address

95 Columbia St
Orlando, FL 32806-1101
Phone (407) 849-9621

Other practice location 1

564 Health Blvd
Daytona Beach, FL 32114-1492
Phone (386) 258-5777

Other practice location 2

424 Treemonte Dr
Orange City, FL 32763-7978
Phone (386) 775-9909

Other practice location 3

790 South Highway 27 / 441
Lady Lake, FL 32159-4540
Phone (352) 259-9944

Other practice location 4

1025 Primera Blvd
Lake Mary, FL 32746-2175
Phone (407) 333-1570

Other identifiers 1

IdentifierTypeStateIssuer
023791300MedicaidFL

Other names 1

  • Jaya Badhwar Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jkumar@floridaretinainstitute.intellechartdirect.net

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
I20180622000395 FL Practitioner - Ophthalmology 2466747993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Saint Louis University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Vitreous ConsultantsGroup PAC ID 4082610019, 43 clinicians

Practice addresses (Care Compare)

95 Columbia St
Orlando, FL 32806-1101
Phone (407) 849-9621

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
99
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Vitreous Consultants Ophthalmology CurrentSince Oct 1, 2023 Accepting new patients

Locations

950 Glades Rd
Ste 1C
Boca Raton, FL 33431
Phone (305) 294-5504

564 Health Blvd
Daytona Beach, FL 32114
Phone (386) 258-5777

2639 Oak St
Jacksonville, FL 32204
Phone (904) 387-5600

8786 Perimeter Park Blvd
Jacksonville, FL 32216
Phone (904) 997-9202

1025 Primera Blvd
Lake Mary, FL 32746
Phone (407) 333-1570

424 Treemonte Dr
Orange City, FL 32763
Phone (386) 775-9909

95 Columbia St
Orlando, FL 32806
Phone (407) 849-9621

50 Leanni Way
Unit E5
Palm Coast, FL 32137
Phone (386) 447-1847

1370 E Venice Ave
Ste 201
Venice, FL 34285
Phone (941) 480-0500

4072 E State Road 44
Wildwood, FL 34785
Phone (352) 612-9006

Interoperability endpoints

  • Direct secure messaging: jkumar@floridaretinainstitute.intellechartdirect.net

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1871855049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 COLUMBIA ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061101",
            "telephone_number": "407-849-9621",
            "fax_number": "904-996-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 COLUMBIA ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061101",
            "telephone_number": "407-849-9621",
            "fax_number": "407-420-4056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "564 Health Blvd",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321141492",
            "country_code": "US",
            "telephone_number": "386-258-5777",
            "fax_number": "386-239-8984",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "424 Treemonte Dr",
            "address_purpose": "LOCATION",
            "city": "Orange City",
            "state": "FL",
            "postal_code": "327637978",
            "country_code": "US",
            "telephone_number": "386-775-9909",
            "fax_number": "386-775-7344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "790 South Highway 27 / 441",
            "address_purpose": "LOCATION",
            "city": "Lady Lake",
            "state": "FL",
            "postal_code": "321594540",
            "country_code": "US",
            "telephone_number": "352-259-9944",
            "fax_number": "352-259-9926",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 Primera Blvd",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327462175",
            "country_code": "US",
            "telephone_number": "407-333-1570",
            "fax_number": "407-333-1381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "JAYA",
        "middle_name": "BADHWAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "ME134614",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME134614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023791300",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkumar@floridaretinainstitute.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "95 Columbia St",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328061101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JAYA",
            "last_name": "BADHWAR",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.