NPIMap

Individual provider Active NPI

Sara Safder, M.D.

  • Diagnostic Radiology Physician
  • Lakeland, FL
National Provider Identifier
1154531887
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME113797 Issued in FL
Practice address
2125 Crystal Grove Dr
Lakeland, FL 33801-6875
Phone
(863) 688-2334
NPI assigned
May 23, 2007
Last updated
Oct 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME113797 FL Primary

Addresses

Primary practice location

2125 Crystal Grove Dr
Lakeland, FL 33801-6875

Mailing address

2125 Crystal Grove Dr
Lakeland, FL 33801-6875
Phone (863) 688-2334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121024000662 FL Practitioner - Diagnostic Radiology 1759531957 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
JC Edwards School of Medicine, Marshall University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiological Physician Associates IncGroup PAC ID 7719955368, 31 clinicians

Practice addresses (Care Compare)

5080 White Pine Cir NE
St Petersburg, FL 33703-6210
Phone (888) 722-9729

6743 Valhalla Way
Windermere, FL 34786-5627
Phone (304) 617-2765

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology & Imaging Specialists of Lakeland Diagnostic Radiology CurrentSince Nov 15, 2016 Accepting new patients
Manatee Memorial Hospital L P CurrentSince Apr 11, 2018 Accepting new patients
Manatee Memorial Hospital L P Current Accepting new patients
Radiological Physician Associates Inc Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Manatee Memorial Hospital LP CurrentSince Apr 11, 2018 Accepting new patients

Locations

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

1305 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 577-0251

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

2120 Lakeland Hills Blvd
Lakeland, FL 33805
Phone 8636882334117

2125 Crystal Grove Dr
Lakeland, FL 33801
Phone (863) 701-2225

200 Hospital Dr
Spencer, WV 25276
Phone (304) 927-4444

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: asma.safder.1@20432.direct.athenahealth.com
  • Direct secure messaging: ssafder363634@direct.wvuhsdirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1154531887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 CRYSTAL GROVE DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338016875",
            "telephone_number": "863-688-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 CRYSTAL GROVE DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338016875",
            "telephone_number": "863-688-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFDER",
        "first_name": "SARA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME113797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.