Active NPI
Sandeep Mendiratta, M.D.
- Psychiatry Physician
- Oakland Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME107062
- Practice address
- 1400 E Oakland Park Blvd Ste 210
Oakland Park, FL 33334-4400 - Phone
- (954) 561-6222
- Fax
- (954) 990-7650
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | ME107062 | FL | |
| Psychiatry Physician | 2084P0800X | ME107062 | FL | Primary |
Addresses
Primary practice location
1400 E Oakland Park Blvd Ste 210
Oakland Park, FL 33334-4400
Mailing address
1400 E Oakland Park Blvd Ste 210
Oakland Park, FL 33334-4400
Phone (954) 561-6222
Other practice location 1
7261 Sheridan St Ste 100B
Hollywood, FL 33024-2708
Phone (954) 561-6222
Other practice location 2
3301 Overseas Hwy
Marathon, FL 33050-2329
Phone (954) 561-6222
Other practice location 3
7200 Camino Real Ste 201
Boca Raton, FL 33433-5511
Phone (561) 674-0885
Other practice location 4
7369 Sheridan St Ste 101
Hollywood, FL 33024-2776
Phone (954) 561-6222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002477400 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Northeastern Ohio University College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1400 E Oakland Park Blvd
Suite 210
Oakland Park, FL 33334-4400
Phone 9545616222111
Hospital & facility affiliations
- Broward Health Imperial Point
- Broward Health Medical Center
- Broward Health Coral Springs
- Broward Health North
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME107062 | FL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ventre Medical Associates LLC | Psychiatry | Current | Accepting new patients |
| Ventre Medical Associates, LLC | Psychiatry | Past | Accepting new patients |
| Dreamlife Recovery LLC | Past | Accepting new patients | |
| Ventre Medical Associates LLC | Psychiatry | Past | Accepting new patients |
| Sunlight Recovery, Inc | Past | Accepting new patients |
Locations
7200 Camino Real
Ste 201
Boca Raton, FL 33433
Phone (561) 674-0885
6401 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 776-8500
7369 Sheridan St
Ste 101
Hollywood, FL 33024
Phone (954) 562-6222
7261 Sheridan St
Ste 340
Hollywood, FL 33024
7261 Sheridan St
Ste 100B
Hollywood, FL 33024
Phone (754) 777-8668
3301 Overseas Hwy
Marathon, FL 33050
Phone (305) 743-5533
1400 E Oakland Park Blvd
Ste 210
Oakland Park, FL 33334
Phone 9545616222111
5901 SW 74th St
Ste 408
South Miami, FL 33143
Phone (305) 735-3555
Networks
- Freedom Health HMO Network
Organizations & group practices 5
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.
-
- Psychiatry Physician
- Oakland Park, FL
- NPI 1073818183
-
- Substance Abuse Rehabilitation Facility
- Boca Raton, FL
- NPI 1629299565
-
- Psychiatry Physician
- Boca Raton, FL
- NPI 1427713338
-
- Psychiatry Physician
- South Miami, FL
- NPI 1558038927
-
- Substance Abuse Rehabilitation Facility
- Donegal, PA
- NPI 1316414881
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Coral Springs, FL
- NPI 1174551147
-
- General Acute Care Hospital
- Fort Lauderdale, FL
- NPI 1265460232
-
- General Acute Care Hospital
- Fort Lauderdale, FL
- NPI 1285662239
-
- General Acute Care Hospital
- Pompano Beach, FL
- NPI 1376571323
-
- Emergency Care Clinic/Center
- Lighthouse Point, FL
- NPI 1720936792
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673827200000",
"number": "1043386311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 E OAKLAND PARK BLVD STE 210",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333344400",
"telephone_number": "954-561-6222",
"fax_number": "954-990-7650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 E OAKLAND PARK BLVD STE 210",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333344400",
"telephone_number": "954-561-6222",
"fax_number": "954-990-7650"
}
],
"practiceLocations": [
{
"address_1": "7261 Sheridan St Ste 100B",
"address_purpose": "LOCATION",
"city": "Hollywood",
"state": "FL",
"postal_code": "330242708",
"country_code": "US",
"telephone_number": "954-561-6222",
"fax_number": "954-990-7650",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3301 Overseas Hwy",
"address_purpose": "LOCATION",
"city": "Marathon",
"state": "FL",
"postal_code": "330502329",
"country_code": "US",
"telephone_number": "954-561-6222",
"fax_number": "954-990-7650",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7200 Camino Real Ste 201",
"address_purpose": "LOCATION",
"city": "Boca Raton",
"state": "FL",
"postal_code": "334335511",
"country_code": "US",
"telephone_number": "561-674-0885",
"fax_number": "561-674-0856",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7369 Sheridan St Ste 101",
"address_purpose": "LOCATION",
"city": "Hollywood",
"state": "FL",
"postal_code": "330242776",
"country_code": "US",
"telephone_number": "954-561-6222",
"fax_number": "954-990-7650",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENDIRATTA",
"first_name": "SANDEEP",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2023-01-16",
"certification_date": "2023-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "FL",
"license": "ME107062",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME107062",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002477400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oakland Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.