Individual provider Active NPI

Sean David Dakshaw, DO

  • Hospice and Palliative Medicine (Emergency Medicine) Physician
  • Stuart, FL
National Provider Identifier
1063597771
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Emergency Medicine) PhysicianTaxonomy code 207PH0002X
License
OS11537 Issued in FL
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

Updated by the provider on Jul 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
961947MedicaidAZ

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
I20120412000572 FL Practitioner - Emergency Medicine 8820022403 Reassigns benefits to 2 organizations

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
Sheridan Emergency Physician Services IncGroup PAC ID 5597665372, 20 clinicians

Practice addresses (Care Compare)

1210 S Old Dixie Hwy
Jupiter, FL 33458-7205
Phone (954) 939-5000

Hospital & facility affiliations

  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS11537FLMDHospice and Palliative Medicine (Emergency Medicine) Physician
7983OHMDPhysical Therapist
4271AZMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Emergency Physician Services Inc Emergency Medicine CurrentSince Feb 25, 2024 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Dec 31, 2012 Accepting new patients
Sheridan Emergency Physician Services Inc Emergency Medicine CurrentSince Feb 25, 2024 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 PastSince Jan 1, 2016 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.