JAVIETH H DETRES MD
NPI 1649404195
Internal Medicine in Lauderdale Lakes, FL
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, maintains a secondary practice location in Coral Springs, and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
4Medicare enrollment records show Javieth Detres reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Coral Springs, FL 33065
- Reassigned Medicare billing, Florida enrollment
- 2 clinicians in this Medicare group
Miramar, FL 33027
- Reassigned Medicare billing, Florida enrollment
- 229 clinicians in this Medicare group
Caguas, PR 00725
- Reassigned Medicare billing, Puerto Rico enrollment
- 428 clinicians in this Medicare group
Guaynabo, PR 00969
- Reassigned Medicare billing, Puerto Rico enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
LAUDERDALE LAKES, FL 33313
LAUDERDALE LAKES, FL 33313
LAUDERDALE LAKES, FL 33313
LAUDERDALE LAKES, FL 33313
LAUDERDALE LAKES, FL 33313
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 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.
Where is Javieth Detres located?
Javieth Detres practices at 4850 W Oakland Park Blvd Ste 136, Lauderdale Lakes, FL 33313. The listed phone number is (844) 665-4827.
What is Javieth Detres's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Javieth Detres enrolled in Medicare?
Yes. Javieth Detres is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Javieth Detres's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Javieth Detres reassigns Medicare benefits to 4 organizations: Abella Family Medical Group Corp (Coral Springs, FL), Guidewell Sanitas I, LLC (Miramar, FL), Centro Medico Del Turabo Inc (Caguas, PR) and Kayada Corp (Guaynabo, PR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Javieth Detres's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Javieth Detres accept?
Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Florida Health Care Plans and 1 other insurer list Javieth Detres as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Javieth Detres was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.
# Javieth H Detres, MD · NPI 1649404195
Internal Medicine physician in Lauderdale Lakes, Florida. Individual provider, active in the CMS NPPES registry since May 13, 2009.
## Identity
- **NPI:** 1649404195 (Entity type: Individual)
- **Enumerated:** May 13, 2009
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 140765 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4850 W OAKLAND PARK BLVD STE 136, Lauderdale Lakes, FL 33313-7277
- **Phone:** (844) 665-4827 · **Fax:** (877) 762-0841
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Abella Family Medical Group Corp (NPI 1972339638, Coral Springs, FL); Guidewell Sanitas I, LLC (NPI 1619635679, Miramar, FL); Centro Medico Del Turabo Inc (NPI 1710107883, Caguas, PR); Kayada Corp (NPI 1831412527, Guaynabo, PR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** October 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1649404195) · Data from the CMS NPPES public registry.