Individual provider Active NPI

Sandeep Pandya, MD

  • Family Medicine Physician
  • Maitland, FL
National Provider Identifier
1023371796
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301101107 Issued in MI
Practice address
331 N Maitland Ave Ste C1
Maitland, FL 32751-4754
Phone
(407) 644-2218
NPI assigned
Jun 19, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301101107 MI Primary

Addresses

Primary practice location

331 N Maitland Ave Ste C1
Maitland, FL 32751-4754

Mailing address

331 N Maitland Ave Ste C1
Maitland, FL 32751-4754
Phone (407) 644-2218

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161206001437 FL Practitioner - Family Practice 9234369331 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

331 N Maitland Ave
Suite C1
Maitland, FL 32751-4754
Phone (407) 644-2218

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301101107MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Jul 1, 2020 Accepting new patients
Premier Physicians Orlando LLC Family Medicine CurrentSince Aug 17, 2017 Accepting new patients
Elon Health Primary Care LLC Family Medicine CurrentSince Apr 3, 2024 Accepting new patients
Elon Health PastSince Jan 26, 2025 Accepting new patients

Locations

601 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 303-2200

43378 Highway 27
Ste A
Davenport, FL 33837
Phone (352) 508-5254

43378 Highway 27
Ste B
Davenport, FL 33837
Phone (407) 205-6996

43378 Highway 27
Davenport, FL 33837
Phone (407) 205-6996

331 N Maitland Ave
Ste C1
Maitland, FL 32751
Phone (407) 644-2218

200 N Lakemont Ave
Winter Park, FL 32792
Phone (407) 646-7000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EABFDD/Endpoint/EABFDD

Organizations & group practices 4

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

Hospital & facility affiliations 6

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": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1023371796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 N MAITLAND AVE STE C1",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514754",
            "telephone_number": "407-644-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 N MAITLAND AVE STE C1",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514754",
            "telephone_number": "407-644-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDYA",
        "first_name": "SANDEEP",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-19",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301101107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.