David Sanjuan, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN1047 Issued in FL

Practice address

737 S Semoran Blvd
Orlando, FL 32807-3121

Phone

(321) 247-4960

Fax

(833) 963-0116

NPI assigned

Aug 25, 2013

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

Other identifiers 3

Electronic endpoints 1

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

Specialty

General Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orlando Primary Medicine, LLCGroup PAC ID 7810333192, 2 clinicians

Lowell F. Clark MD PAGroup PAC ID 7416918370, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St. Francis Hospice Hospice, Titusville, FL, CCN 101534
• Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
• Parrish Medical Center Hospital, Titusville, FL, CCN 100028
• Lake Eustis Healthcare and Rehabilitation Center Nursing home, Eustis, FL, CCN 105001

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: dsanjuan@centerwellprimarycare.com

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.

• Lowell F. Clark MD PA

  • Internal Medicine Physician
  • Bushnell, FL
  • NPI 1629278882
  Medicare reassignment Care Compare group NPD
• Orlando Primary Medicine, LLC

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1376233346

  General Practice

  Medicare reassignment Care Compare group NPD
• Advanced Internal Medicine Care, PA

  • Internal Medicine Physician
  • Lakeland, FL
  • NPI 1811130339

  General Practice

  Medicare reassignment NPD
• Premier Medical Associates of Florida Healthcare, PA

  • Internal Medicine Physician
  • The Villages, FL
  • NPI 1023612827
  Medicare reassignment NPD
• Centerwell Senior Primary Care FL Inc

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1487686705

  General Practice

  NPD
• Lowell F. Clark MD PA

  • Clinic/Center
  • Altoona, FL
  • NPI 1326671256
  NPD
• Allhealth LLC

  • Health Maintenance Organization
  • Lakeland, FL
  • NPI 1770023640
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Health System-Sunbelt, Inc

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071
  Care Compare affiliation
• Adventist Health System-Sunbelt, Inc

  • Clinical Medical Laboratory
  • Orlando, FL
  • NPI 1801569728

  Hospital

  Care Compare affiliation
• Hospice of St. Francis, Inc.

  • Community Based Hospice Care Agency
  • Titusville, FL
  • NPI 1598815839
  Care Compare affiliation
• Lake Eustis Operating Investments LLC

  • Skilled Nursing Facility
  • Eustis, FL
  • NPI 1518611508

  Nursing home

  Care Compare affiliation
• North Brevard County Hospital District

  • General Acute Care Hospital
  • Titusville, FL
  • NPI 1053424648
  Care Compare affiliation

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

{
    "created_epoch": "1377388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1306270509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 S SEMORAN BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073121",
            "telephone_number": "321-247-4960",
            "fax_number": "833-963-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 S SEMORAN BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073121",
            "telephone_number": "321-247-4960",
            "fax_number": "833-963-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANJUAN",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-25",
        "last_updated": "2023-03-07",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15442",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100951000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "ACN1047",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "PV866",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DSanjuan@centerwellprimarycare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "737 S Semoran Blvd",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328073121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Clara Sanfield
• Gabriel Joshua Sangalang, DMD
• Heeral Sanghrajka, PHARMD
• Kopila Sangroula Pandey, AGACNP-BC
• Sanjean Facility Care,Inc
• Chandraka Sankar
• Shennel Sankar
• Mwata Sankara, PH.D.
• Fatoumatta Khadijah Sankareh
• Francisco Ramon Sanmartin, M.D.

• General Practice Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• 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.