LEVI A. DIAZ MENJIVAR MD
NPI 1063907780
Internal Medicine in Jacksonville, FL

Q: What is Levi Diaz Menjivar's NPI number?

The NPI number for Levi Diaz Menjivar is 1063907780. It was assigned to this individual provider in the NPPES registry on June 25, 2018.

Q: What is Levi Diaz Menjivar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since June 25, 2018PECOS EnrolledAccepts Medicare Assignment

1201 MONUMENT RD STE 200, JACKSONVILLE, FL 32225(904) 727-5151(904) 727-5180 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 13, 2023, Jul 2, 2021, Jun 25, 2018 (3 updates tracked since 2018).

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About Levi A. Diaz Menjivar Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEVI A. DIAZ MENJIVAR MD (NPI 1063907780) is an individual internal medicine provider in Jacksonville, Florida, licensed in Florida (ME169645) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and maintains a secondary practice location in Providence.

NPPES Registry Identity

NPI1063907780

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameLEVI A. DIAZ MENJIVARCredential: MD

Location Address1201 MONUMENT RD STE 200Jacksonville, FL 32225-7428

Mailing Address2675 Winkler Ave Fl 2Fort Myers, FL 33901-9342 · (877) 856-3774

Phone(904) 727-5151

Fax(904) 727-5180

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJune 25, 2018

Last NPPES UpdateAugust 26, 20243 updates tracked since enumeration

NPPES CertifiedAugust 26, 2024

✔ NPI 1063907780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in FL · ME169645✔ Licensed in RI · MD17791

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1201 MONUMENT RD STE 200, Jacksonville, FL 32225

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Secondary Practice Location 1

Location 1355 Prairie AveProvidence, RI 02905-1928 · Phone (401) 444-0570 · Fax (401) 444-0427

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Levi A. Diaz Menjivar Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749685683

PECOS Enrollment IDI20240807001030

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

14 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100088

Location800 Prudential DrJacksonville, FL 32207 · Duval County

Emergency services Birthing friendly

Hca Florida Memorial Hospital

Acute Care Hospitals · Jacksonville, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100179

Location3625 University Blvd SJacksonville, FL 32216 · Duval County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32225 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIANA ANDREA LLANO MD

Family Medicine (Adult Medicine)