NPIMap

Individual provider Active NPI

Sanghamitra Sadhu, MD

  • Nephrology Physician
  • Windermere, FL
National Provider Identifier
1013162759
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME110857 Issued in FL
Practice address
9100 Conroy Windermere Rd Ste 200
Windermere, FL 34786-8431
Phone
(407) 205-8507
Fax
(615) 235-1250
NPI assigned
Nov 21, 2008
Last updated
May 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME110857 FL Primary

Addresses

Primary practice location

9100 Conroy Windermere Rd Ste 200
Windermere, FL 34786-8431

Mailing address

2582 Maguire Rd Unit 249
Ocoee, FL 34761-4749
Phone (407) 205-8507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160614001918 FL Practitioner - Nephrology 7113218686 Reassigns benefits to 2 organizations
Practice locations: Windermere, FL

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9400 Turkey Lake Rd
Orlando, FL 32819-8001
Phone (407) 351-8500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME110857FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Nephrology Hypertension & Renal Transplantation, LLC Nephrology CurrentSince Oct 13, 2019 Accepting new patients
Ace Kidney LLC Nephrology CurrentSince Mar 1, 2021 Accepting new patients
Longwood Medical Group PA Past Accepting new patients

Locations

174 State Road 436
Unit D102
Casselberry, FL 32707
Phone (407) 551-1601

2582 Maguire Rd
Ocoee, FL 34761
Phone (407) 987-3922

9400 Turkey Lake Rd
Orlando, FL 32819
Phone (321) 843-5500

9100 Conroy Windermere Rd
Ste 200
Windermere, FL 34786
Phone (407) 395-2042

4355 Bear Gully Rd
Ste 1024
Winter Park, FL 32792
Phone (407) 331-4115

5745 Canton Cv
Ste 121
Winter Springs, FL 32708
Phone (407) 545-6232

Networks

  • FL HMO
  • AL HMO D-SNP
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • FL HMO D-SNP
  • AL HMO
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • FL PPO
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • FL HMO C-SNP

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1577/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1013162759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2582 MAGUIRE RD UNIT 249",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614749",
            "telephone_number": "407-205-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 CONROY WINDERMERE RD STE 200",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347868431",
            "telephone_number": "407-205-8507",
            "fax_number": "615-235-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADHU",
        "first_name": "SANGHAMITRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-21",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME110857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windermere, FL

Sources for this page

Verify at the official NPI Registry.