Individual provider Active NPI

Afolabi Olakunle Sangosanya, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Pensacola, FL
National Provider Identifier
1194808022
Registry record updated Aug 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
ME89212 Issued in FL
Practice address
1717 N E St
Suite 331
Pensacola, FL 32501-6339
Phone
(850) 444-1717
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X ME89212 FL Primary

Addresses

Primary practice location

1717 N E St
Suite 331
Pensacola, FL 32501-6339

Mailing address

1717 N E St
Suite 333
Pensacola, FL 32501-6339
Phone (850) 444-1772

Other identifiers 1

IdentifierTypeStateIssuer
000619400MedicaidFL

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
I20081009000162 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7719055383 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
New York University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians

Practice addresses (Care Compare)

6000 Turkey Lake Rd
Suite 107
Orlando, FL 32819-4205
Phone (407) 514-1840

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Conviva Specialty, LLC CurrentSince Feb 1, 2025 Accepting new patients
Simonmed Imaging Florida LLC CurrentSince Dec 27, 2016 Accepting new patients
Langhorne Cardiology Consultants, Inc. Past Accepting new patients
Simonmed Imaging, Incorporated Past Accepting new patients
Capital Regional Healthcare LLC PastSince Nov 17, 2009 Accepting new patients

Locations

6900 E Camelback Rd
Ste 700
Scottsdale, AZ 85251
Phone (602) 651-1945

9980 Central Park Blvd N
Ste 126
Boca Raton, FL 33428
Phone (561) 369-7137

4828 Coconut Creek Pkwy
Coconut Creek, FL 33063
Phone (954) 247-2168

208 W Oak St
Kissimmee, FL 34741
Phone (407) 788-2888

755 Stirling Center Pl
Ste 1541
Lake Mary, FL 32746
Phone (407) 514-1840

4960 SW 72nd Ave
Ste 406
Miami, FL 33155

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

9582 W Colonial Dr
Ocoee, FL 34761
Phone (407) 363-6700

51 W Kaley St
Orlando, FL 32806
Phone (407) 999-9925

775 N Alafaya Trl
Orlando, FL 32828
Phone (321) 235-8700

7424 Red Bug Lake Rd
Oviedo, FL 32765
Phone (407) 971-6344

301 NW 84th Ave
#302
Plantation, FL 33324
Phone (954) 247-2168

875 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 944-2220

6000 Turkey Lake Rd
Ste 107
Sand Lake, FL 32819
Phone (407) 264-7160

10010 N Dale Mabry Hwy
Ste 150
Tampa, FL 33618
Phone (725) 937-6006

1110 W Fairbanks Ave
Winter Park, FL 32789
Phone (407) 629-7474

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: afolabi.sangosanya.1@29601.direct.athenahealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281916800000",
    "number": "1194808022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 N E ST",
            "address_2": "SUITE 333",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325016339",
            "telephone_number": "850-444-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 N E ST",
            "address_2": "SUITE 331",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325016339",
            "telephone_number": "850-444-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGOSANYA",
        "first_name": "AFOLABI",
        "middle_name": "OLAKUNLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2010-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "FL",
            "license": "ME89212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000619400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.