Individual provider Active NPI

Hajar Kadivar, M.D.

  • Family Medicine Physician
  • Saint Petersburg, FL
National Provider Identifier
1891940540
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME111295 Issued in FL
Practice address
1111 7TH Ave N Ste 107
Saint Petersburg, FL 33705-1348
Phone
(727) 894-6703
Fax
(727) 894-1430
NPI assigned
Nov 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME111295 FL Primary

Addresses

Primary practice location

1111 7TH Ave N Ste 107
Saint Petersburg, FL 33705-1348

Mailing address

5350 Spring Hill Dr
Spring Hill, FL 34606-4562
Phone (352) 277-5348

Other practice location 1

300 76th Ave
St Pete Beach, FL 33706-1802
Phone (727) 620-0010

Other identifiers 1

IdentifierTypeStateIssuer
004215400MedicaidFL

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
I20111118000468 FL Practitioner - Family Practice 6406900281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Southern California Keck School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Health Care Physicians LLCGroup PAC ID 4385821156, 176 clinicians

Practice addresses (Care Compare)

1111 7TH Ave N
Suite 107
Saint Petersburg, FL 33705-1348
Phone (727) 894-6703

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Access Health Care Physicians LLC Family Medicine CurrentSince Oct 1, 2020 Accepting new patients

Locations

634 NE Jensen Beach Blvd
Jensen Beach, FL 34957
Phone (772) 334-6201

13220 Belcher Rd S
Unit 11
Largo, FL 33773
Phone (727) 533-2242

13220 Belcher Rd S
Unit 1
Largo, FL 33773
Phone (727) 223-9943

14690 Spring Hill Dr
Ste 101
Spring Hill, FL 34609

5350 Spring Hill Dr
Spring Hill, FL 34606
Phone (352) 688-8116

14690 Spring Hill Dr
Ste 305
Spring Hill, FL 34609
Phone (352) 277-5348

300 76th Ave
St Pete Beach, FL 33706
Phone (727) 360-1663

5798 38th Ave N
St Petersburg, FL 33710
Phone (727) 347-0681

1111 7th Ave N
Ste 107
St Petersburg, FL 33705
Phone (727) 894-1661

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: hajar.kadivar@ahcpllc.eclinicaldirectplus.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1891940540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 SPRING HILL DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346064562",
            "telephone_number": "352-277-5348",
            "fax_number": "352-606-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 7TH AVE N STE 107",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337051348",
            "telephone_number": "727-894-6703",
            "fax_number": "727-894-1430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 76th Ave",
            "address_purpose": "LOCATION",
            "city": "St Pete Beach",
            "state": "FL",
            "postal_code": "337061802",
            "country_code": "US",
            "telephone_number": "727-620-0010",
            "fax_number": "727-894-1430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KADIVAR",
        "first_name": "HAJAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-21",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME111295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004215400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

Verify at the official NPI Registry.