DR. MITABEN N HAJIRAWALA MD
Accepted Insurance for NPI 1144588310
Hospitalist in Temple Terrace, FL

Active since April 25, 2012PECOS EnrolledAccepts Medicare Assignment
94.93/100
CMS Quality Rating
13067 N TELECOM PKWY, TEMPLE TERRACE, FL 33637(813) 779-6303(786) 868-0012 Get Directions

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 6, 2023, Feb 15, 2019 (2 updates tracked since 2019).

Does Dr. Hajirawala take my insurance?

Oscar Health includes Dr. Hajirawala in 56 Florida plans sold on HealthCare.gov for 2027. Insurers also list Dr. Hajirawala in Illinois, Iowa and Texas.

Call before you book: insurer directories can be out of date, so call the office at (813) 779-6303 to confirm your plan is accepted. These are Marketplace (ACA) plans only; employer, Medicare Advantage and Medicaid plans are not listed.

108 plans · 553 plan IDs · 2027 plan year

Florida plans 56 plans

Plans sold to Florida residents. Costs are for the standard version of each plan.

Oscar Health

56 plans · HMO
Accepting new patients
Individual Florida Standard network · 42 plans · Preferred tier
Gold BasicNetwork tier: PreferredHMOGold$021525FL0020035View details
Gold Basic | with AdventHealthNetwork tier: PreferredHMOGold$021525FL0010071View details
Gold Simple DiabetesNetwork tier: PreferredHMOGold$2,00021525FL0020020View details
Gold SImple Diabetes with Adult Dental & VisionNetwork tier: PreferredHMOGold$2,00021525FL0020032View details
Gold Simple Diabetes | with AdventHealthNetwork tier: PreferredHMOGold$2,00021525FL0010036View details
Gold Classic StandardNetwork tier: PreferredHMOGold$2,50021525FL0020015View details
Gold Classic Standard | with AdventHealthNetwork tier: PreferredHMOGold$2,50021525FL0010020View details
Gold Simple with Adult Dental & Vision | with AdventHealthNetwork tier: PreferredHMOGold$2,75021525FL0010051View details
Gold Simple | with AdventHealthNetwork tier: PreferredHMOGold$2,75021525FL0010023View details
Silver Simple PCP SaverNetwork tier: PreferredHMOSilver$5,75021525FL0020012View details
Silver Simple PCP Saver | with AdventHealthNetwork tier: PreferredHMOSilver$5,75021525FL0010016View details
Silver Simple Women's Health with Menopause BenefitsNetwork tier: PreferredHMOSilver$6,00021525FL0020013View details
Silver Simple Breathe Easy with Enhanced COPD BenefitsNetwork tier: PreferredHMOSilver$6,20021525FL0020009View details
Silver Classic StandardNetwork tier: PreferredHMOSilver$6,40021525FL0020007View details
Silver Classic Standard | with AdventHealthNetwork tier: PreferredHMOSilver$6,40021525FL0010010View details
Silver Simple Chronic Care CKMNetwork tier: PreferredHMOSilver$6,50021525FL0020010View details
Silver Simple Chronic Care CKM | with AdventHealthNetwork tier: PreferredHMOSilver$6,50021525FL0010014View details
Silver Simple DiabetesNetwork tier: PreferredHMOSilver$6,50021525FL0020011View details
Silver Simple Diabetes with Adult Dental & VisionNetwork tier: PreferredHMOSilver$6,50021525FL0020031View details
Silver Simple Diabetes | with AdventHealthNetwork tier: PreferredHMOSilver$6,50021525FL0010015View details
Silver Core PlanNetwork tier: PreferredHMOSilver$9,00021525FL0020018View details
Silver Core Plan | with AdventHealthNetwork tier: PreferredHMOSilver$9,00021525FL0010034View details
Bronze Elite + PCP Saver PlusNetwork tier: PreferredHMOExpanded Bronze$021525FL0020003View details
Bronze Elite + PCP Saver Plus with Adult Dental & VisionNetwork tier: PreferredHMOExpanded Bronze$021525FL0020024View details
Bronze Elite + PCP Saver Plus | with AdventHealthNetwork tier: PreferredHMOExpanded Bronze$021525FL0010005View details
Bronze Classic 4700Network tier: PreferredHMOExpanded Bronze$4,70021525FL0020002View details
Bronze Classic 4700 | with AdventHealthNetwork tier: PreferredHMOExpanded Bronze$4,70021525FL0010004View details
Bronze Simple Chronic Care CKMNetwork tier: PreferredHMOExpanded Bronze$5,50021525FL0020005View details
Bronze Simple Chronic Care CKM | with AdventHealthNetwork tier: PreferredHMOExpanded Bronze$5,50021525FL0010028View details
Bronze Simple DiabetesNetwork tier: PreferredHMOExpanded Bronze$5,50021525FL0020006View details
Bronze Simple Diabetes with Adult Dental & VisionNetwork tier: PreferredHMOExpanded Bronze$5,50021525FL0020029View details
Bronze Simple Diabetes with Adult Dental & Vision | with AdventHealthNetwork tier: PreferredHMOExpanded Bronze$5,50021525FL0010054View details
Bronze Simple Diabetes | with AdventHealthNetwork tier: PreferredHMOExpanded Bronze$5,50021525FL0010029View details
Bronze Classic StandardNetwork tier: PreferredHMOExpanded Bronze$7,50021525FL0020001View details
Bronze Classic Standard | with AdventHealthNetwork tier: PreferredHMOExpanded Bronze$7,50021525FL0010002View details
Bronze Simple Breathe Easy with Enhanced COPD BenefitsNetwork tier: PreferredHMOExpanded Bronze$9,00021525FL0020004View details
Bronze Simple Breathe Easy with Enhanced COPD Benefits | with AdventHealthNetwork tier: PreferredHMOExpanded Bronze$9,00021525FL0010006View details
Individual Florida HMO Broad network · 14 plans · Preferred tier
Gold Simple DiabetesNetwork tier: PreferredHMOGold$2,00021525FL0010025View details
Gold Simple Diabetes with Adult Dental & VisionNetwork tier: PreferredHMOGold$2,00021525FL0010068View details
Gold Classic StandardNetwork tier: PreferredHMOGold$2,50021525FL0010019View details
Silver Simple Women's Health with Menopause BenefitsNetwork tier: PreferredHMOSilver$6,00021525FL0010017View details
Silver Simple Breathe Easy with Enhanced COPD BenefitsNetwork tier: PreferredHMOSilver$6,20021525FL0010013View details
Silver Classic StandardNetwork tier: PreferredHMOSilver$6,40021525FL0010009View details
Silver Simple Chronic Care CKMNetwork tier: PreferredHMOSilver$6,50021525FL0010043View details
Silver Simple DiabetesNetwork tier: PreferredHMOSilver$6,50021525FL0010044View details
Silver Simple Diabetes with Adult Dental & VisionNetwork tier: PreferredHMOSilver$6,50021525FL0010067View details
Bronze Simple Chronic Care CKMNetwork tier: PreferredHMOExpanded Bronze$5,50021525FL0010007View details
Bronze Simple DiabetesNetwork tier: PreferredHMOExpanded Bronze$5,50021525FL0010008View details
Bronze Simple Diabetes with Adult Dental & VisionNetwork tier: PreferredHMOExpanded Bronze$5,50021525FL0010065View details
Bronze Classic StandardNetwork tier: PreferredHMOExpanded Bronze$7,50021525FL0010001View details
Bronze Simple Breathe Easy with Enhanced COPD BenefitsNetwork tier: PreferredHMOExpanded Bronze$9,00021525FL0010027View details

Also listed in other states 52 plans · 497 plan IDs · 3 states

Insurers sometimes list a provider in other states' networks, for example for telehealth or a practice near a state line. These plans are sold to residents of those states.

Oscar Health · Iowa

19 plans · EPO
Accepting new patientsDeductible $0 to $9,000
Individual Iowa network · 10 plans · Preferred tier
Gold Elite Saver Plus | MercyOneNetwork tier: PreferredEPOGold$045819IA0010036View details
Gold Simple Women's Health with Menopause Benefits | MercyOneNetwork tier: PreferredEPOGold$2,00045819IA0010091View details
Gold Classic Standard | MercyOneNetwork tier: PreferredEPOGold$2,50045819IA0010053View details
Silver Simple PCP Saver | MercyOneNetwork tier: PreferredEPOSilver$5,75045819IA0010025View details
Bronze Elite + PCP Saver Plus | MercyOneNetwork tier: PreferredEPOExpanded Bronze$045819IA0010005View details
Bronze Classic 4700 | MercyOneNetwork tier: PreferredEPOExpanded Bronze$4,70045819IA0010024View details
Bronze Simple Breathe Easy with Enhanced COPD Benefits | MercyOneNetwork tier: PreferredEPOExpanded Bronze$5,50045819IA0010070View details
Bronze Simple Chronic Care CKM | MercyOneNetwork tier: PreferredEPOExpanded Bronze$5,50045819IA0010071View details
Bronze Simple Diabetes | MercyOneNetwork tier: PreferredEPOExpanded Bronze$5,50045819IA0010072View details
Bronze Classic Standard | MercyOneNetwork tier: PreferredEPOExpanded Bronze$7,50045819IA0010050View details
Individual Iowa Broad network · 9 plans · Preferred tier

Blue Cross and Blue Shield of Texas · Texas

18 plans · HMO, POS
Not accepting new patientsDeductible $550 to $12,000
Blue Advantage Gold HMO℠ - MaxNetwork tier: Blue Advantage HMOHMOGold$55033602TX0460548View details
Blue Advantage Gold HMO℠ - SecureNetwork tier: Blue Advantage HMOHMOGold$1,80033602TX0460809View details
Blue Advantage Plus Gold℠ - SecureNetwork tier: Blue Advantage HMOPOSGold$1,80033602TX0870005View details
Blue Advantage Gold HMO℠ - StandardNetwork tier: Blue Advantage HMOHMOGold$2,50033602TX0460925View details
Blue Advantage Plus Gold℠ - BalanceNetwork tier: Blue Advantage HMOPOSGold$2,50033602TX0870011View details
Blue Advantage Plus Gold℠ - StandardNetwork tier: Blue Advantage HMOPOSGold$2,50033602TX0870006View details
Blue Advantage Plus Silver℠ - ChampionNetwork tier: Blue Advantage HMOPOSSilver$3,10033602TX0870009View details
Blue Advantage Silver HMO℠ - ChampionNetwork tier: Blue Advantage HMOHMOSilver$3,10033602TX0460553View details
Blue Advantage Plus Silver℠ - StandardNetwork tier: Blue Advantage HMOPOSSilver$6,40033602TX0870010View details
Blue Advantage Silver HMO℠ - StandardNetwork tier: Blue Advantage HMOHMOSilver$6,40033602TX0460926View details
Blue Advantage Plus Silver℠ - BalanceNetwork tier: Blue Advantage HMOPOSSilver$7,00033602TX0870007View details
Blue Advantage Silver HMO℠ - BalanceNetwork tier: Blue Advantage HMOHMOSilver$7,00033602TX0461083View details
Blue Advantage Bronze HMO℠ - Standard HSANetwork tier: Blue Advantage HMOHMOExpanded Bronze$7,50033602TX0461033View details
Blue Advantage Plus Bronze℠ - Standard HSANetwork tier: Blue Advantage HMOPOSExpanded Bronze$7,50033602TX0870004View details
Blue Advantage Plus Bronze℠ - Support HSANetwork tier: Blue Advantage HMOPOSExpanded Bronze$8,00033602TX0870002View details
Blue Advantage Bronze HMO℠ - Balance HSANetwork tier: Blue Advantage HMOHMOExpanded Bronze$11,75033602TX0460554View details
Blue Advantage Plus Security℠ - HSANetwork tier: Blue Advantage HMOPOSCatastrophic$12,00033602TX0870298View details
Blue Advantage Security HMO℠ - HSANetwork tier: Blue Advantage HMOHMOCatastrophic$12,00033602TX0460552View details

Oscar Health · Illinois

15 plans · HMO
Accepting new patientsDeductible $0 to $9,000
Individual Illinois Select network · 8 plans · Preferred tier
Gold Classic Standard (Select)Network tier: PreferredHMOGold$2,00011574IL0020053View details
Gold Simple (Select)Network tier: PreferredHMOGold$3,30011574IL0020059View details
Buena Salud Plateado 4360 (Select)Network tier: PreferredHMOSilver$4,36011574IL0020057View details
Silver Classic Standard (Select)Network tier: PreferredHMOSilver$6,00011574IL0020052View details
Silver Simple Diabetes (Select)Network tier: PreferredHMOSilver$6,50011574IL0020060View details
Bronze Elite + PCP Saver Plus Rx (Select)Network tier: PreferredHMOExpanded Bronze$011574IL0020055View details
Bronze Classic Standard (Select)Network tier: PreferredHMOExpanded Bronze$7,50011574IL0020050View details
Bronze Simple (Select)Network tier: PreferredHMOExpanded Bronze$9,00011574IL0020058View details
Individual Illinois Choice network · 7 plans · Preferred tier
Gold Classic Standard (Choice)Network tier: PreferredHMOGold$2,00011574IL0010053View details
Gold Simple (Choice)Network tier: PreferredHMOGold$3,30011574IL0010057View details
Silver Classic Standard (Choice)Network tier: PreferredHMOSilver$6,00011574IL0010052View details
Silver Simple Diabetes (Choice)Network tier: PreferredHMOSilver$6,50011574IL0010045View details
Bronze Elite + PCP Saver Plus Rx (Choice)Network tier: PreferredHMOExpanded Bronze$011574IL0010055View details
Bronze Classic Standard (Choice)Network tier: PreferredHMOExpanded Bronze$7,50011574IL0010050View details
Bronze Simple (Choice)Network tier: PreferredHMOExpanded Bronze$9,00011574IL0010056View details

Questions about Dr. Hajirawala’s insurance

Does Dr. Hajirawala take Oscar Health?

For Florida Marketplace plans, yes: Oscar Health includes Dr. Hajirawala in 56 plans for 2027. Call the office at (813) 779-6303 to confirm your plan before booking.

Do I need a referral to see Dr. Hajirawala?

Not under the Florida plans that list Dr. Hajirawala: the 2027 plan files say a specialist referral is not required.

Does Dr. Hajirawala accept Medicare?

Yes. CMS files show Dr. Hajirawala accepts Medicare assignment and is enrolled in PECOS, which allows ordering and referring for Medicare patients.

About this data

This page combines public files from insurers and from CMS. NPI Profile does not contract with insurers and does not decide who is in network.

SourceWhat it provides hereSource date
Insurer provider directory filesWhich plans list this provider, network tier, accepting new patients, years listed. Insurers selling on HealthCare.gov must publish these files under CMS rules.Oscar Health: Nov 5, 2026
Blue Cross and Blue Shield of Texas: Oct 16, 2026
CMS Health Insurance Exchange public use filesPlan details and Summary of Benefits links for HealthCare.gov states.Plan year 2027, Oct 20, 2026
CMS state-based exchange public use filesPlan details for states that run their own exchange, here Illinois. No document links.Plan year 2027, Jun 3, 2026
  • Only Marketplace (ACA) plans are covered. Employer, Medicare Advantage and Medicaid managed care networks are not in these files.
  • Costs are for the standard version of each plan. People who qualify for cost-sharing reductions pay less on Silver plans.
  • Accepting new patients and network tier are reported by each insurer, and can differ from what the practice tells you.
  • Networks change during the year. Confirm with your insurer or the practice before booking.