SHYAM JAVVAJI MD
NPI 1720513542
Student in an Organized Health Care Education/Training Program in Galveston, TX

Active since April 30, 2017PECOS EnrolledAccepts Medicare Assignment
301 UNIVERSITY BLVD, GALVESTON, TX 77555(409) 266-7856 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 4, 2022, Jun 15, 2021, Apr 30, 2017 (3 updates tracked since 2017).

About Shyam Javvaji Md NPPES

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

SHYAM JAVVAJI MD (NPI 1720513542) is an individual student in an organized health care education/training program in Galveston, Texas and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical Branch At Galveston (2017).

NPPES Registry Identity

NPI1720513542
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSHYAM JAVVAJICredential: MD
Location Address301 UNIVERSITY BLVDGalveston, TX 77555-3358
Mailing Address301 University Blvd, 5.504 Jennie Sealy HospitalGalveston, TX 77555-0877 · (409) 266-7856
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2017
Enumeration DateApril 30, 2017
Last NPPES UpdateFebruary 4, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2022
NPI 1720513542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
301 UNIVERSITY BLVD, Galveston, TX 77555

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

Shyam Javvaji 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 ID5193126324
PECOS Enrollment IDI20250228002310
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.

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.

Nurse Practitioner (Pediatrics)
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Nurse Practitioner (Neonatal)
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Surgery (Trauma Surgery)
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Internal Medicine
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Psychiatry & Neurology (Neurology)
301 UNIVERSITY BLVD, JSA 9.128
GALVESTON, TX 77555
Anesthesiology
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Internal Medicine (Endocrinology, Diabetes & Metabolism)
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Anesthesiology
301 UNIVERSITY BLVD
GALVESTON, TX 77555

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 Shyam Javvaji's NPI number?

The NPI number for Shyam Javvaji is 1720513542. It was assigned to this individual provider in the NPPES registry on April 30, 2017.

Where is Shyam Javvaji located?

Shyam Javvaji practices at 301 University Blvd, Galveston, TX 77555. The listed phone number is (409) 266-7856.

What is Shyam Javvaji's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shyam Javvaji enrolled in Medicare?

Yes. Shyam Javvaji 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.

When was this NPI record last updated?

The NPPES record for Shyam Javvaji was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.