JAVIETH H DETRES MD
NPI 1649404195
Internal Medicine in Lauderdale Lakes, FL

Q: What is Javieth Detres's NPI number?

The NPI number for Javieth Detres is 1649404195. It was assigned to this individual provider in the NPPES registry on May 13, 2009.

Q: What is Javieth Detres's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Javieth Detres was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.

Active since May 13, 2009PECOS EnrolledAccepts Medicare Assignment

4850 W OAKLAND PARK BLVD STE 136, LAUDERDALE LAKES, FL 33313(844) 665-4827(877) 762-0841 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 19, 2025, Nov 7, 2024, Dec 8, 2015 (3 updates tracked since 2015).

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About Javieth H Detres Md NPPES

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

JAVIETH H DETRES MD (NPI 1649404195) is an individual internal medicine provider in Lauderdale Lakes, Florida, licensed in Florida (140765) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1649404195

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameJAVIETH H DETRESCredential: MD

Location Address4850 W OAKLAND PARK BLVD STE 136Lauderdale Lakes, FL 33313-7277

Mailing Address9150 Meridian Dr EParkland, FL 33076-4612 · (787) 240-4646

Phone(844) 665-4827

Fax(877) 762-0841

Sole ProprietorYes

Medical School CMSOtherGraduated 2006

Enumeration DateMay 13, 2009

Last NPPES UpdateFebruary 19, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 19, 2025

✔ NPI 1649404195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · 140765

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.

4850 W OAKLAND PARK BLVD STE 136, Lauderdale Lakes, FL 33313

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.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

Javieth H Detres 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 ID7012168792

PECOS Enrollment IDI20200325002286

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 33313 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

$135.56 typical visit price

range $58.56 – $179.05

Typical copayment $33.89 (range $14.64 – $44.76)

Most-billed visit code 99204

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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 7

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

JENNIFER EVANS

Nurse Practitioner (Family)