VIJAYKUMAR DINSUKHLAL ZAVERI M.D.
NPI 1952302804
Otolaryngology in Miami, FL

Active since August 02, 2005PECOS EnrolledAccepts Medicare Assignment
87.59/100
CMS Quality Rating
3661 S MIAMI AVE, # 409, MIAMI, FL 33133(305) 854-5971(305) 858-6654 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 19, 2022, Nov 20, 2019 (2 updates tracked since 2019).

About Vijaykumar Dinsukhlal Zaveri M.d. NPPES

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

VIJAYKUMAR DINSUKHLAL ZAVERI M.D. (NPI 1952302804) is an individual otolaryngology provider in Miami, Florida, licensed in Florida (ME56409) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Mercy Hospital, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1952302804
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameVIJAYKUMAR DINSUKHLAL ZAVERICredential: M.D.
Location Address3661 S MIAMI AVE, # 409Miami, FL 33133-4236
Mailing Address15280 Nw 79th Ct Ste 200Miami Lakes, FL 33016-5873 · (305) 558-3724 · Fax (786) 907-4485
Fax(305) 858-6654
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateAugust 2, 2005
Last NPPES UpdateDecember 19, 20222 updates tracked since enumeration
NPPES CertifiedDecember 19, 2022
NPI 1952302804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in FL · ME56409
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
3661 S MIAMI AVE, Miami, FL 33133

Other Identifiers 1

Medicaid064412900FL

Accepted 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

Vijaykumar Dinsukhlal Zaveri M.d. 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 ID7012031701
PECOS Enrollment IDI20100901000997
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.

Areas of Expertise CMS Part B claims 23

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
740 services12 patients
Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
420 services13 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
405 services250 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
361 services228 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
226 services28 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
184 services133 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hca Florida Mercy Hospital

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100167
Location3663 S Miami AveMiami, FL 33133 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33133 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.34
Promoting Interoperability91
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers11 claims11 services$13.15 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers14 claims74 services$2.10 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers22 claims22 services$31.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Community Health Worker
3661 S MIAMI AVE, ST.708
MIAMI, FL 33133
Specialist
3661 S MIAMI AVE, SUITE 106
MIAMI, FL 33133
Nurse Anesthetist, Certified Registered
3661 S MIAMI AVE, STE 902
MIAMI, FL 33133
Dermatology
3661 S MIAMI AVE, SUITE 702
MIAMI, FL 33133
Obstetrics & Gynecology (Gynecology)
3661 S MIAMI AVE, 505
MIAMI, FL 33133
Nurse Anesthetist, Certified Registered
3661 S MIAMI AVE, SUITE 107
MIAMI, FL 33133
Internal Medicine (Pulmonary Disease)
3661 S MIAMI AVE, MERCY PROFESSIONAL BUILDING I SUITE 702
MIAMI, FL 33133
Specialist
3661 S MIAMI AVE, SUITE 209
MIAMI, FL 33133

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 Vijaykumar Zaveri's NPI number?

The NPI number for Vijaykumar Zaveri is 1952302804. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Vijaykumar Zaveri located?

Vijaykumar Zaveri practices at 3661 S Miami Ave # 409, Miami, FL 33133. The listed phone number is (305) 854-5971.

What is Vijaykumar Zaveri's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Vijaykumar Zaveri enrolled in Medicare?

Yes. Vijaykumar Zaveri 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.

What insurance does Vijaykumar Zaveri accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Vijaykumar Zaveri 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.

Is Vijaykumar Zaveri affiliated with any hospitals?

According to CMS data, Vijaykumar Zaveri is affiliated with Hca Florida Mercy Hospital.

When was this NPI record last updated?

The NPPES record for Vijaykumar Zaveri was last updated on December 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.