Individual provider Active NPI

Oksana Sambirska, M.D.

  • Internal Medicine Physician
  • Wellington, FL
National Provider Identifier
1306257217
Registry record updated Nov 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME126955 Issued in FL
Practice address
1397 Medical Park Blvd Ste 100
Wellington, FL 33414-3187
Phone
(844) 665-4827
Fax
(844) 638-2821
NPI assigned
May 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME126955 FL Primary

Addresses

Primary practice location

1397 Medical Park Blvd Ste 100
Wellington, FL 33414-3187

Mailing address

1397 Medical Park Blvd Ste 100
Wellington, FL 33414-3187
Phone (844) 665-4827

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
I20170404002814 FL Practitioner - Internal Medicine 3870879943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guidewell Sanitas I, LLCGroup PAC ID 9537447107, 124 clinicians

Practice addresses (Care Compare)

180 SW 84TH Ave
Plantation, FL 33324-2731
Phone (844) 665-4827

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME126955FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guidewell Sanitas I, LLC CurrentSince Dec 11, 2017 Accepting new patients
Metcare of Florida, Inc Internal Medicine Past Accepting new patients

Locations

8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869

180 SW 84th Ave
Plantation, FL 33324
Phone (954) 271-2855

1397 Medical Park Blvd
Ste 100
Wellington, FL 33414
Phone (561) 798-1515

Interoperability endpoints

  • Direct secure messaging: oksana.sambirska@wwmp.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1306257217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1397 MEDICAL PARK BLVD STE 100",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143187",
            "telephone_number": "844-665-4827",
            "fax_number": "844-638-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1397 MEDICAL PARK BLVD STE 100",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143187",
            "telephone_number": "844-665-4827",
            "fax_number": "844-638-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMBIRSKA",
        "first_name": "OKSANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-13",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME126955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.