Organization Active NPI

Closedloopclinic

  • Family Medicine Physician
  • Sarasota, FL
National Provider Identifier
1205686268
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CLOSEDLOOPCLINIC
Practice address
1219 S East Ave Ste 206
Sarasota, FL 34239-2355
Phone
(813) 955-6329
Fax
(813) 441-7384
NPI assigned
Mar 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Authorized official

Name
Herbert Estiu Sanchez, MDNPI 1508292053
Title
President
Phone
(814) 955-6329

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1219 S East Ave Ste 206
Sarasota, FL 34239-2355

Mailing address

13867 Lilac Sky Ter
Lakewood Ranch, FL 34211-7203
Phone (813) 955-6329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY, PA, TX, FL5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20240712000035 CA Part B Supplier - Clinic/Group Practice 7214472430 Receives reassigned benefits from 1 practitioner
Practice locations: Sunnyvale, CA
O20240723003306 NY Part B Supplier - Clinic/Group Practice 7214472430 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY
O20240805004064 PA Part B Supplier - Clinic/Group Practice 7214472430 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA
O20241115001638 TX Part B Supplier - Clinic/Group Practice 7214472430 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX
O20250218000424 FL Part B Supplier - Clinic/Group Practice 7214472430 Receives reassigned benefits from 1 practitioner
Practice locations: Lakewood Ranch, FL; Sarasota, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2322639Closedloopclinic1219 East Ave #206C, Sarasota, FL 34239Certificate of waiverApr 23, 2027

National Provider Directory

National Provider Directory

Locations

970 W El Camino Real
Sunnyvale, CA 94087
Phone (408) 218-4680

1219 S East Ave
Ste 206
Sarasota, FL 34239
Phone (813) 955-6329

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1205686268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13867 LILAC SKY TER",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342117203",
            "telephone_number": "813-955-6329",
            "fax_number": "813-441-7384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 S EAST AVE STE 206",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392355",
            "telephone_number": "813-955-6329",
            "fax_number": "813-441-7384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOSEDLOOPCLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "ESTIU SANCHEZ",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-955-6329",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.