James Nifty Sarasua, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME118564 Issued in FL

Practice address

3950 Sunset Lake Dr
Lakeland, FL 33810-2839

Phone

(909) 801-4192

NPI assigned

Feb 19, 2008

Last updated

Mar 19, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1215105689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 SUNSET LAKE DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338102839",
            "telephone_number": "909-801-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 SUNSET LAKE DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338102839",
            "telephone_number": "909-801-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARASUA",
        "first_name": "JAMES",
        "middle_name": "NIFTY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-19",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME118564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Santos
• Medardo Queg Santos, M.D.
• Melina Santos
• Bryan Michael Santowski, APRN, FNP-BC
• Raul A Sanz
• Jitendra Saraswat, PHARM D.
• Justin Matthew Sarat, PHARMD
• Lyudmila U Sarder, MD
• John Sargeant
• Kristina Maria Sarmiento

• Family Medicine Physician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.