Organization Active NPI

Sandeep Jain MD PA

  • Pulmonary Disease Physician
  • Plantation, FL
National Provider Identifier
1033358262
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME65687 Issued in FL
Legal business name
SANDEEP JAIN MD PA
Practice address
300 NW 70TH Ave Ste 107
Plantation, FL 33317-2360
Phone
(954) 530-0848
Fax
(954) 791-5305
NPI assigned
Feb 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Authorized official

Name
Sandeep JainNPI 1619945359
Title
President/Owner
Phone
(954) 530-0848

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X ME65687 FL Primary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X

Addresses

Primary practice location

300 NW 70TH Ave Ste 107
Plantation, FL 33317-2360

Mailing address

300 NW 70TH Ave Ste 107
Plantation, FL 33317-2360
Phone (954) 530-0848

Other practice location 1

255 SE 14th St Ste 1B
Fort Lauderdale, FL 33316-1852
Phone (954) 530-0848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100114000734 FL Part B Supplier - Clinic/Group Practice 5991847808 Receives reassigned benefits from 1 practitioner
Practice locations: Plantation, FL; Lauderdale Lakes, FL; Fort Lauderdale, FL

National Provider Directory

National Provider Directory

Locations

2951 NW 49th Ave
Ste 202
Lauderdale Lakes, FL 33313
Phone (954) 486-1250

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1033358262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 NW 70TH AVE STE 107",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172360",
            "telephone_number": "954-530-0848",
            "fax_number": "954-791-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NW 70TH AVE STE 107",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172360",
            "telephone_number": "954-530-0848",
            "fax_number": "954-791-5305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 SE 14th St Ste 1B",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333161852",
            "country_code": "US",
            "telephone_number": "954-530-0848",
            "fax_number": "954-791-5305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SANDEEP JAIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "SANDEEP",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "954-530-0848"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME65687",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.