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SHRUTI JAVALI
NPI 1073035440
Family Medicine in Grand Rapids, MI

Active since July 07, 2017PECOS Enrolled
300 LAFAYETTE AVE SE, GRAND RAPIDS, MI 49503(616) 685-6922 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 17, 2020, Jan 23, 2019, Jul 7, 2017 (3 updates tracked since 2017).

About Shruti Javali NPPES

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

SHRUTI JAVALI (NPI 1073035440) is an individual family medicine provider in Grand Rapids, Michigan, licensed in California (169683) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1073035440
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSHRUTI JAVALI
Location Address300 LAFAYETTE AVE SEGrand Rapids, MI 49503
Mailing Address300 S Leon S Peters BlvdFowler, CA 93625-2538
Phone(616) 685-6922
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 7, 2017
Last NPPES UpdateSeptember 17, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2020
✔ NPI 1073035440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CA · 169683✔ Licensed in MI · 4351027611✔ Licensed in MI · 4301113402
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
300 LAFAYETTE AVE SE, Grand Rapids, MI 49503
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shruti Javali is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991076408
PECOS Enrollment IDI20200924001588
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 20

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

DESMOND JAVON HARDEN MD
Internal Medicine
300 LAFAYETTE AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-6919
IBRAHIM RAZA MD
Internal Medicine
300 LAFAYETTE AVE SE, SUITE 3000
GRAND RAPIDS, MI 49503
Kent County (616) 685-4615
ALLISON WILLETT RDN
Dietitian, Registered
300 LAFAYETTE AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-5003
JOHN CAVACECE DO
Family Medicine
300 LAFAYETTE AVE SE, SUITE 4200
GRAND RAPIDS, MI 49503
Kent County (616) 685-6922
RUGGERO BATTAN MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
300 LAFAYETTE AVE SE, STE 2045
GRAND RAPIDS, MI 49503
Kent County (616) 685-8760
MAHA AYASHI MD
Family Medicine
300 LAFAYETTE AVE SE, STE 4000
GRAND RAPIDS, MI 49503
Kent County (616) 685-6922
JOHN VANSCHAGEN MD
Family Medicine
300 LAFAYETTE AVE SE, SUITE 4200
GRAND RAPIDS, MI 49503
Kent County (616) 685-6922
NICOLE RENEE ABBGY NP
Nurse Practitioner (Adult Health)
300 LAFAYETTE AVE SE, SUITE 3000
GRAND RAPIDS, MI 49503
Kent County (616) 685-6919

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shruti Javali's NPI number?

The NPI number for Shruti Javali is 1073035440. It was assigned to this individual provider in the NPPES registry on July 7, 2017.

Where is Shruti Javali located?

Shruti Javali practices at 300 Lafayette Ave SE, Grand Rapids, MI 49503. The listed phone number is (616) 685-6922.

What is Shruti Javali's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shruti Javali enrolled in Medicare?

Yes. Shruti Javali is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shruti Javali was last updated on September 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.