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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HEMANGKUMAR JAVAIYA
NPI 1952604464
Internal Medicine in Jacksonville, FL

Active since December 06, 2010PECOS Enrolled
96.98/100
CMS Quality Rating
2732 TROLLIE LN, JACKSONVILLE, FL 32211(904) 289-1254(904) 212-0036 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Hemangkumar Javaiya NPPES

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

HEMANGKUMAR JAVAIYA (NPI 1952604464) is an individual internal medicine provider in Jacksonville, Florida, licensed in Florida (ME154659) and active in the NPI registry since December 2010. He is enrolled in Medicare PECOS and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1952604464
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameHEMANGKUMAR JAVAIYA
Location Address2732 TROLLIE LNJacksonville, FL 32211-3833
Mailing AddressPo Box 600365Jacksonville, FL 32260-0365 · (904) 289-1254 · Fax (904) 212-0036
Phone(904) 289-1254
Fax(904) 212-0036
Sole ProprietorNo
Enumeration DateDecember 6, 2010
Last NPPES UpdateSeptember 14, 2026
NPPES CertifiedSeptember 14, 2026
✔ NPI 1952604464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in FL · ME154659✔ Licensed in NJ · 25MA09296200
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.
2732 TROLLIE LN, Jacksonville, FL 32211
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Secondary Practice Location 1

Location 12785 Park StJacksonville, FL 32205-7607 · Phone (904) 289-1254 · Fax (904) 212-0036

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hemangkumar Javaiya is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Hemangkumar Javaiya reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Caremax Clinic 711 LLC
Same address
Internal Medicine
2732 TROLLIE LN
Jacksonville, FL 32211
  • Reassigned Medicare billing, Florida enrollment
  • 12 clinicians in this Medicare group
NPI 1609359249 (904) 289-1254
Hni Medical Services Of Florida, LLC
5.3 mi
Internal Medicine
1 SHIRCLIFF WAY
Jacksonville, FL 32204
  • Reassigned Medicare billing, Florida enrollment
  • 492 clinicians in this Medicare group
NPI 1679048284 (512) 730-3060
Sound Physicians Of Florida IV, LLC
65 mi
Internal Medicine
60 MEMORIAL MEDICAL PKWY
Palm Coast, FL 32164
  • Reassigned Medicare billing, Florida enrollment
  • 300 clinicians in this Medicare group
NPI 1740633635 (615) 377-5658
Good Samaritan Regional Health Center
688 mi
Emergency Medicine
1 GOOD SAMARITAN WAY
Mount Vernon, IL 62864
  • Reassigned Medicare billing, Illinois enrollment
  • 284 clinicians in this Medicare group
NPI 1487758801 (618) 899-4600
St. Mary's Hospital, Centralia, Illinois
708 mi
Anesthesiology
400 N PLEASANT AVE
Centralia, IL 62801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: St Marys Hospital Centralia Illinois
  • 392 clinicians in this Medicare group
NPI 1477097871 (618) 436-6056

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

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.
194 services40 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
44 services44 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
42 services25 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32211 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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.

96.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.89
Promoting Interoperability100
Improvement Activities40
Cost80

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers28 claims28 services$19.81 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers24 claims24 services$912.97 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers28 claims28 services$111.03 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 4

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

DR. JUSTIN MICHAEL MORTIMER MD
Psychiatry & Neurology (Psychiatry)
2732 TROLLIE LN
JACKSONVILLE, FL 32211
Duval County (904) 289-1254
CAREMAX CLINIC 711 LLC
Internal Medicine
2732 TROLLIE LN
JACKSONVILLE, FL 32211
Duval County (904) 289-1254
ANOTTE JUSTILIEN MERIEDY PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2732 TROLLIE LN
JACKSONVILLE, FL 32211
Duval County (907) 289-1254
JENNIFER MORAN FNP-BC
Nurse Practitioner (Primary Care)
2732 TROLLIE LN
JACKSONVILLE, FL 32211
Duval County (904) 289-1254

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 Hemangkumar Javaiya's NPI number?

The NPI number for Hemangkumar Javaiya is 1952604464. It was assigned to this individual provider in the NPPES registry on December 6, 2010.

Where is Hemangkumar Javaiya located?

Hemangkumar Javaiya practices at 2732 Trollie Ln, Jacksonville, FL 32211. The listed phone number is (904) 289-1254.

What is Hemangkumar Javaiya's specialty?

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

Is Hemangkumar Javaiya enrolled in Medicare?

Yes. Hemangkumar Javaiya is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Hemangkumar Javaiya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hemangkumar Javaiya reassigns Medicare benefits to 5 organizations: Caremax Clinic 711 LLC (Jacksonville, FL), Hni Medical Services Of Florida, LLC (Jacksonville, FL), Sound Physicians Of Florida IV, LLC (Palm Coast, FL), Good Samaritan Regional Health Center (Mount Vernon, IL) and St. Mary's Hospital, Centralia, Illinois (Centralia, IL). 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 Hemangkumar Javaiya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hemangkumar Javaiya accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Oscar Health Maintenance Organization of Florida and Wellpoint list Hemangkumar Javaiya 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 Hemangkumar Javaiya was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 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.