Shruti Javali, - Medicare Family Medicine in Grand Rapids, MI

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Shruti Javali, is a medicare enrolled "Family Medicine" physician in Grand Rapids, Michigan. Her current practice location is 300 Lafayette Ave Se, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 685-6922.

Shruti Javali is licensed to practice in California (license number 169683) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073035440.

Contact Information

Shruti Javali,
300 Lafayette Ave Se,
Grand Rapids, MI 49503
(616) 685-6922
Not Available

Map and Direction




Physician's Profile

Full NameShruti Javali
GenderFemale
SpecialityFamily Medicine
Location300 Lafayette Ave Se, Grand Rapids, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073035440
  • Provider Enumeration Date: 07/07/2017
  • Last Update Date: 09/17/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5991076408
  • Enrollment ID: I20200924001588

Medical Identifiers

Medical identifiers for Shruti Javali such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073035440NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 4351027611 (Michigan)Secondary
207Q00000XFamily Medicine 4301113402 (Michigan)Secondary
207Q00000XFamily Medicine 169683 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shruti Javali allows following entities to bill medicare on her behalf.
Entity NameGalen Inpatient Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689320459
PECOS PAC ID: 3678464633
Enrollment ID: O20040322000680
Entity NameAdventist Health Physicians Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063718583
PECOS PAC ID: 3274580972
Enrollment ID: O20050407000633

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shruti Javali is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shruti Javali,
300 S Leon S Peters Blvd,
Fowler, CA 93625-2538

Ph: () -		Shruti Javali,
300 Lafayette Ave Se,
Grand Rapids, MI 49503

Ph: (616) 685-6922

Reviews and Comments


Family Medicine Doctors in Grand Rapids, MI

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.