Individual provider Active NPI

Raymond B Sandler, M.D.

  • Gastroenterology Physician
  • North Miami Beach, FL
National Provider Identifier
1104880533
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME0075598 Issued in FL
Practice address
100 NW 170TH St
Suite 410
North Miami Beach, FL 33169-5513
Phone
(305) 654-6850
Fax
(305) 654-6858
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME0075598 FL Primary

Addresses

Primary practice location

100 NW 170TH St
Suite 410
North Miami Beach, FL 33169-5513

Mailing address

100 NW 170TH St
Suite # 410
North Miami Beach, FL 33169-5513
Phone (305) 654-6850

Other identifiers 1

IdentifierTypeStateIssuer
270181200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0075598FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida International Cardiology Consultants Inc Past Accepting new patients
Public Health Trust of Miami Dade County Florida Past Accepting new patients
Miami-Dade Cardiology Consultants, LLC Past Accepting new patients

Organizations & group practices 3

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1104880533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NW 170TH ST",
            "address_2": "SUITE # 410",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331695513",
            "telephone_number": "305-654-6850",
            "fax_number": "305-654-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NW 170TH ST",
            "address_2": "SUITE 410",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331695513",
            "telephone_number": "305-654-6850",
            "fax_number": "305-654-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDLER",
        "first_name": "RAYMOND",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME0075598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270181200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.