Individual provider Active NPI

Sandeep Mendiratta, M.D.

  • Psychiatry Physician
  • Oakland Park, FL
National Provider Identifier
1043386311
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME107062 Issued in FL
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

Updated by the provider on Jan 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
002477400MedicaidFL

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
I20100806000221 FL Practitioner - Psychiatry 0244363588 Reassigns benefits to 1 organization

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
Ventre Medical Associates LLCGroup PAC ID 5496931586, 72 clinicians

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 Hospital, Fort Lauderdale, FL, CCN 100200
  • Broward Health Medical Center Hospital, Fort Lauderdale, FL, CCN 100039
  • Broward Health Coral Springs Hospital, Coral Springs, FL, CCN 100276
  • Broward Health North Hospital, Deerfield Beach, FL, CCN 100086

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
ME107062FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ventre Medical Associates LLC Psychiatry CurrentSince Apr 1, 2012 Accepting new patients
Ventre Medical Associates, LLC Psychiatry PastSince Aug 1, 2021 Accepting new patients
Dreamlife Recovery LLC Past Accepting new patients
Ventre Medical Associates LLC Psychiatry PastSince Nov 9, 2021 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.