SRIMANASI JAVVAJI (MD) – Dermatology Physician, NPI 1750630125
Dermatology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
339 DERMATOLOGY in WI
Provider Addresses for SRIMANASI JAVVAJI (MD)
752 N High Point Rd
Madison, WI 537172236
Phone: (608) 824-4000
Fax: (608) 824-4949
Type: Location
2 Carlson Pkwy N Ste 100
Plymouth, MN 554474467
Phone: (952) 222-9429
Type: Location
285 N El Camino Real Ste 117
Encinitas, CA 920245384
Phone: (760) 633-1000
Fax: (760) 753-8657
Type: Location
1934 Via Ctr Ste B
Vista, CA 920816056
Phone: (760) 295-2299
Fax: (760) 216-5300
Type: Location
5026 TENNYSON PKWY
PLANO, TX 750243360
Phone: (972) 985-1920
Type: Mailing
2604B EL CAMINO REAL STE 364
CARLSBAD, CA 920081214
Phone:
Type: Mailing
2500 S 8TH AVE
YUMA, AZ 853647118
Phone: (928) 788-0785
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $78.
Total Amount is formed as General ($78) + Research ($0) + Ownership ($0) = $78.
Last reported payment date: 2024-05-07 • Largest payer in this snapshot: Organogenesis Inc. ($38).
Total Amount
$78
General + Research + Ownership
Payments
4
Total payment records
General Amount
$78
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $38 |
| Incyte Corporation | $20 |
| LEO Pharma Inc. | $20 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-11-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 8 Medicare enrollment records; no due dates published yet.
Enrollment records
8
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160915001977 | I | Dermatology | CA | TBD |
| I20171201000778 | I | Dermatology | TX | TBD |
| I20230406000529 | I | Dermatology | AZ | TBD |
| I20230802002109 | I | Dermatology | OH | TBD |
| I20230822001958 | I | Dermatology | WI | TBD |
| I20231026000874 | I | Dermatology | MN | TBD |
| I20240227002252 | I | Dermatology | IL | TBD |
| I20241113000195 | I | Dermatology | ND | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 224 | 196 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 118 | 77 | $0 |
| 12052 | Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm | 46 | 44 | $0 |
| 12053 | Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm | 16 | 16 | $0 |
| 17313 | Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks | 13 | 13 | $0 |
Insurance plans in this area (ZIP 53717)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ND | |
| Nurse Practitioner | ND | |
| - | ND | |
| - | ND | |
| P S Y C H I A T R Y | ND | |
| - | PA | |
| N E P H R O L O G Y | SD | |
| U R O L O G Y | MI | |
| Nurse Practitioner | ND | |
| H O S P I T A L I S T | ND |
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