Individual provider Active NPI

Walver Baez Mejias, MD

  • General Practice Physician
  • Lakeland, FL
National Provider Identifier
1992404677
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1578 Issued in FL
Practice address
1005 N Lake Parker Ave
Lakeland, FL 33805-4723
Phone
(863) 583-4053
NPI assigned
Mar 1, 2023
Last updated
Jan 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 23123 PR
General Practice Physician 208D00000X 1578 FL
General Practice Physician 208D00000X ACN1578 FL Primary

Addresses

Primary practice location

1005 N Lake Parker Ave
Lakeland, FL 33805-4723

Mailing address

152 Travis LN
Davenport, FL 33837-8455
Phone (787) 405-8776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230705003379 PR Practitioner - General Practice 9032578372 Practice locations: Adjuntas, PR
I20231030003915 FL Practitioner - General Practice 9032578372 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1578FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Care of North Florida, Inc General Practice Current Accepting new patients
American Care of North Florida, Inc General Practice CurrentSince Jul 24, 2024 Accepting new patients
Soni Family Practice, PLLC CurrentSince Dec 1, 2024 Accepting new patients
American Care of North Florida, Inc General Practice CurrentSince Jul 24, 2024 Accepting new patients

Locations

12171 SW 268th St
Homestead, FL 33032
Phone 30527802001020

1918 Blanding Blvd
Jacksonville, FL 32210
Phone (904) 389-6954

1005 N Lake Parker Ave
Lakeland, FL 33805
Phone (863) 583-4053

1060 Cypress Pkwy
Unit 101
Poinciana, FL 34759

11211 N Nebraska Ave
Tampa, FL 33612
Phone (813) 514-2333

2775 Lake Alfred Rd
Winter Haven, FL 33881
Phone (863) 291-4590

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1992404677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 TRAVIS LN",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338378455",
            "telephone_number": "787-405-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N LAKE PARKER AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054723",
            "telephone_number": "863-583-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAEZ MEJIAS",
        "first_name": "WALVER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-01",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23123",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "1578",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.