Active NPI
Sean David Dakshaw, DO
- Hospice and Palliative Medicine (Emergency Medicine) Physician
- Stuart, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Emergency Medicine) Physician
- License
- OS11537
- Practice address
- 200 SE Hospital Ave
Stuart, FL 34994-2346 - Phone
- (772) 287-5200
- NPI assigned
- Oct 25, 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4271 | AZ | |
| Hospice and Palliative Medicine (Emergency Medicine) Physician | 207PH0002X | OS11537 | FL | Primary |
Addresses
Primary practice location
200 SE Hospital Ave
Stuart, FL 34994-2346
Mailing address
5215 SW Longspur LN
Palm City, FL 34990-8824
Phone (772) 210-6736
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 961947 | Medicaid | AZ |
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
- Emergency Medicine
- Education
- Philadelphia College of Osteopathic Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1210 S Old Dixie Hwy
Jupiter, FL 33458-7205
Phone (954) 939-5000
Hospital & facility affiliations
- Jupiter Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS11537 | FL | MD | Hospice and Palliative Medicine (Emergency Medicine) Physician |
| 7983 | OH | MD | Physical Therapist |
| 4271 | AZ | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheridan Emergency Physician Services Inc | Emergency Medicine | Current | Accepting new patients |
| Paragon Contracting Services LLC | Emergency Medicine | Current | Accepting new patients |
| Sheridan Emergency Physician Services Inc | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Physicians of Craven County, PLLC | Emergency Medicine | Past | Accepting new patients |
| Muskingum Emergency Physicia | Emergency Medicine | Past | Accepting new patients |
| Schramm Physical Therapy, Inc | Past | Accepting new patients | |
| Chestnut Hill Emergency Associates LTD | Emergency Medicine | Past | Accepting new patients |
Locations
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073
901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300
4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000
200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618
Interoperability endpoints
- sdakshaw21867@jupitermedicalcenter.direct-ci.com
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Jupiter, FL
- NPI 1598748030
-
- Emergency Medicine Physician
- Bushnell, FL
- NPI 1326619727
-
- Physical Therapy Clinic/Center
- Stuart, FL
- NPI 1548432198
-
- Emergency Medicine Physician
- Philadelphia, PA
- NPI 1588628176
-
- Emergency Medicine Physician
- New Bern, NC
- NPI 1164462586
-
- Emergency Medicine Physician
- Zanesville, OH
- NPI 1790791929
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jupiter, FL
- NPI 1295721090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658448000000",
"number": "1063597771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5215 SW LONGSPUR LN",
"city": "PALM CITY",
"state": "FL",
"postal_code": "349908824",
"telephone_number": "772-210-6736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SE HOSPITAL AVE",
"city": "STUART",
"state": "FL",
"postal_code": "349942346",
"telephone_number": "772-287-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAKSHAW",
"first_name": "SEAN",
"middle_name": "DAVID",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2022-07-22",
"certification_date": "2022-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "4271",
"primary": false
},
{
"code": "207PH0002X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Hospice and Palliative Medicine",
"state": "FL",
"license": "OS11537",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "961947",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.