Individual provider Active NPI

Edgar Sandoval, M.D.

  • Urology Physician
  • Miami Beach, FL
National Provider Identifier
1093716771
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME59750 Issued in FL
Practice address
301 W 41St St Ste 406
Miami Beach, FL 33140-3647
Phone
(305) 534-2986
Fax
(305) 534-0462
NPI assigned
Aug 3, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME59750 FL Primary

Addresses

Primary practice location

301 W 41St St Ste 406
Miami Beach, FL 33140-3647

Mailing address

301 W 41St St Ste 406
Miami Beach, FL 33140-3647
Phone (305) 534-2986

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
I20100303000366 FL Practitioner - Urology 0244375129 Practice locations: North Miami Beach, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME59750FLMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amal Masri DPM PA PastSince May 1, 2021 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/a30d0d06-099c-49a3-9d40-270ed7523c28/
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1093716771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W 41ST ST STE 406",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403647",
            "telephone_number": "305-534-2986",
            "fax_number": "305-534-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W 41ST ST STE 406",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403647",
            "telephone_number": "305-534-2986",
            "fax_number": "305-534-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "EDGAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME59750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.