PAYAL JHAWAR, MD LLC
NPI 1609545326
Clinic/Center in Bradenton, FL

Q: What is Payal Jhawar, MD LLC's NPI number?

The NPI number for Payal Jhawar, MD LLC is 1609545326. It was assigned to this organization in the NPPES registry on September 7, 2021. The provider is doing business as Revive MD Direct Primary Care.

Q: What is Payal Jhawar, MD LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since September 07, 2021CLIA 10D2233194 · Waiver

2810 MANATEE AVE E, BRADENTON, FL 34208(941) 777-5118(469) 242-9547 Get Directions Write a Review

NPPES record last updated: September 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Payal Jhawar, Md Llc NPPES

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

PAYAL JHAWAR, MD LLC (NPI 1609545326), doing business as Revive Md Direct Primary Care, is a healthcare organization registered as a clinic/center in Bradenton, Florida and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through August 19, 2027 and lists Payal Jhawar, Founder And Ceo, as its authorized official.

NPPES Registry Identity

NPI1609545326

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NamePAYAL JHAWAR, MD LLC

Location Address2810 MANATEE AVE EBradenton, FL 34208-1828

Mailing Address366 Chantilly TrlBradenton, FL 34212-5020 · (860) 519-2376

Phone(941) 777-5118

Fax(469) 242-9547

Organization SubpartNo

Authorized OfficialPayal JhawarFounder And Ceo · (860) 519-2376

Enumeration DateSeptember 7, 2021

NPPES CertifiedSeptember 7, 2021

✔ NPI 1609545326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

2810 MANATEE AVE E, Bradenton, FL 34208

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Other Names 1

Doing Business AsRevive Md Direct Primary Care

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2233194

Payal Jhawar MD LLC Dba Revive MD Direct Primary Care · Bradenton, FL

Active · expires Aug 19, 2027

CLIA Number10D2233194

Laboratory TypePhysician Office

Certificate Effective DateAugust 20, 2025

Certificate Expiration DateAugust 19, 2027

Laboratory DirectorPayal Jhawar

Laboratory Phone(941) 777-5118

Laboratory LocationPayal Jhawar MD LLC Dba Revive MD Direct Primary Care2810 Manatee Avenue E, Bradenton, FL 34208

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

DR. JAYA KRISHNA KOLLA M.D.

Family Medicine