Individual provider Active NPI

Andrew F Sinder, M.D.

  • Pediatrics Physician
  • Jacksonville, FL
National Provider Identifier
1174567960
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME115856 Issued in FL
Practice address
15255 Max Leggett Pkwy Ste 4000
Jacksonville, FL 32218-7277
Phone
(904) 383-1540
Fax
(904) 383-1413
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME115856 FL Primary

Addresses

Primary practice location

15255 Max Leggett Pkwy Ste 4000
Jacksonville, FL 32218-7277

Mailing address

15255 Max Leggett Pkwy Ste 4000
Jacksonville, FL 32218-7277
Phone (904) 383-1540

Other identifiers 1

IdentifierTypeStateIssuer
009347800MedicaidFL

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
I20200916000802 FL Practitioner - Pediatric Medicine 0840618377 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Sep 28, 2020 Accepting new patients
University of Florida Jacksonville Physicians Inc Pediatrics CurrentSince Sep 28, 2020 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Pediatrics CurrentSince Apr 6, 2023 Accepting new patients
Saltzman, Tanis, Pittell, Levin and Jacobson Pediatrics Past Accepting new patients
Saltzman, Tanis, Pittell, Levin and Jacobson, LLC Pediatrics PastSince Dec 3, 2023 Accepting new patients

Locations

1443 San Marco Blvd
Jacksonville, FL 32207
Phone (904) 633-4110

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

15255 Max Leggett Pkwy
Ste 4000
Jacksonville, FL 32218
Phone (904) 383-1540

530 Jacksonville Dr
Jax Bch, FL 32250
Phone (904) 383-1046

Interoperability endpoints

  • Direct secure messaging: asinder473455@direct.shands.ufl.edu

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1174567960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15255 MAX LEGGETT PKWY STE 4000",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322187277",
            "telephone_number": "904-383-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15255 MAX LEGGETT PKWY STE 4000",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322187277",
            "telephone_number": "904-383-1540",
            "fax_number": "904-383-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINDER",
        "first_name": "ANDREW",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME115856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009347800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.