Individual provider Active NPI

Saulius J Jankauskas, MD

  • Plastic Surgery Physician
  • Longwood, FL
National Provider Identifier
1316962574
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME0055303 Issued in FL
Practice address
521 W State Road 434
Longwood, FL 32750-4984
Phone
(407) 767-5808
Fax
(407) 767-5892
NPI assigned
Jul 12, 2006
Last updated
Aug 28, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X ME0055303 FL Primary

Addresses

Primary practice location

521 W State Road 434
Longwood, FL 32750-4984

Mailing address

521 W State Road 434
Longwood, FL 32750-4984
Phone (407) 767-5808

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
I20120119000571 FL Practitioner - Plastic and Reconstructive Surgery 4880784842 Reassigns benefits to 1 organization
Practice locations: Longwood, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0055303FLMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince May 1, 2012 Accepting new patients
Orlando Health Medical Group Inc CurrentSince May 1, 2012 Accepting new patients
Saulius J Jankauskas MD Plastic Surgery PastSince Jun 13, 1989 Accepting new patients

Locations

521 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200

521 W State Road 434
Ste 106
Longwood, FL 32750
Phone (407) 834-5255

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

Organizations & group practices 3

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1316962574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 W STATE ROAD 434",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504984",
            "telephone_number": "407-767-5808",
            "fax_number": "407-767-5892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 W STATE ROAD 434",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504984",
            "telephone_number": "407-767-5808",
            "fax_number": "407-767-5892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANKAUSKAS",
        "first_name": "SAULIUS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME0055303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

Verify at the official NPI Registry.