Individual provider Active NPI

Sara Ishaq

  • Internal Medicine Physician
  • The Villages, FL
National Provider Identifier
1124515903
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME152256 Issued in FL
Practice address
1346 Dewey Dr
The Villages, FL 34762-6686
Phone
(352) 674-1780
Fax
(352) 674-8999
NPI assigned
Apr 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME152256 FL Primary

Addresses

Primary practice location

1346 Dewey Dr
The Villages, FL 34762-6686

Mailing address

1020 Lake Sumter LNDG
The Villages, FL 32162-2699
Phone (352) 674-8905

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
I20210921000821 FL Practitioner - Internal Medicine 6608111786 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Villages Health System LLCGroup PAC ID 2163667288, 146 clinicians
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
Centerwell Senior Primary Care Vitality IncGroup PAC ID 4486152899, 144 clinicians

Practice addresses (Care Compare)

1050 Old Camp Rd
The Villages, FL 32162-1762
Phone (352) 674-1760

1346 Dewey Dr
The Villages, FL 34762-6686
Phone (352) 674-1780

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care Vitality Inc Internal Medicine CurrentSince Nov 7, 2025 Accepting new patients
Centerwell Senior Primary Care Vitality Inc Internal Medicine CurrentSince Nov 7, 2025 Accepting new patients
The Villages Health System LLC CurrentSince Oct 25, 2021 Accepting new patients
Centerwell Senior Primary Care Vitality Inc Internal Medicine CurrentSince Nov 1, 2021 Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

1050 Old Camp Rd
The Villages, FL 32162
Phone (352) 606-4708

1400 N US Highway 441
Ste 930
The Villages, FL 32159
Phone (352) 750-2108

1050 Old Camp Rd
Ste 100
The Villages, FL 32162
Phone (352) 674-1760

280 Farner Pl
The Villages, FL 32163
Phone (352) 674-1710

1346 Dewey Dr
The Villages, FL 34762
Phone (352) 674-1780

1020 Lake Sumter Lndg
The Villages, FL 32162

Interoperability endpoints

  • Direct secure messaging: sara.ishaq.1@18324.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/18324/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1124515903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 LAKE SUMTER LNDG",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321622699",
            "telephone_number": "352-674-8905",
            "fax_number": "352-674-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1346 DEWEY DR",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "347626686",
            "telephone_number": "352-674-1780",
            "fax_number": "352-674-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHAQ",
        "first_name": "SARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME152256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.