Individual provider Active NPI

Rickie Sander, MD

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1346200987
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME35606 Issued in FL
Practice address
3599 University Blvd S
Suite 503
Jacksonville, FL 32216-4252
Phone
(904) 399-2829
Fax
(904) 399-2905
NPI assigned
Mar 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME35606 FL Primary

Addresses

Primary practice location

3599 University Blvd S
Suite 503
Jacksonville, FL 32216-4252

Mailing address

3599 University Blvd S
Suite 503
Jacksonville, FL 32216-4252
Phone (904) 399-2829

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
I20110214000118 FL Practitioner - General PracticePractitioner - Pathology 5193858827 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Pathology
Education
Creighton University School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Post Acute Medical Services 1 PAGroup PAC ID 2567729395, 57 clinicians

Practice addresses (Care Compare)

2061 Hyde Park Rd
Jacksonville, FL 32210-3815
Phone (865) 693-1000

Hospital & facility affiliations

  • Community Hospice of Northeast Florida Inc Hospice, Jacksonville, FL, CCN 101500
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Shands Jacksonville Hospital, Jacksonville, FL, CCN 100001
  • Jacksonville Nursing and Rehab Center Nursing home, Jacksonville, FL, CCN 105710
  • First Coast Health and Rehabilitation Center Nursing home, Jacksonville, FL, CCN 105429
  • Lanier Rehabilitation Center Nursing home, Jacksonville, FL, CCN 105666
  • Aviata at Harts Harbor Nursing home, Jacksonville, FL, CCN 105632
  • Regents Park of Jacksonville Nursing home, Jacksonville, FL, CCN 105533

Merit-based Incentive Payment System (MIPS)

Final score
89.72 of 100Reported as apm
Quality
72.97
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ca Pacs 2 Medical Group Inc CurrentSince Jan 1, 2022 Accepting new patients
Inpatient Consultants of Florida, Inc CurrentSince Nov 19, 2014 Accepting new patients
Inpatient Consultants of Florida, Inc Current Accepting new patients
Inpatient Consultants of Florida Inc CurrentSince Nov 19, 2014 Accepting new patients
Florida Post Acute Medical Services 1 PA CurrentSince Oct 31, 2020 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Sep 9, 2024 Accepting new patients

Locations

21251 E Dixie Hwy
Aventura, FL 33180
Phone (305) 935-4825

401 Fairwood Ave
Clearwater, FL 33759
Phone (727) 210-2600

806 S Douglas Rd
Ste 820
Coral Gables, FL 33134

2061 Hyde Park Rd
Jacksonville, FL 32210
Phone (904) 553-3601

3599 University Blvd S
Ste 503
Jacksonville, FL 32216
Phone (904) 398-2829

4325 Southpoint Blvd
Jacksonville, FL 32216
Phone (904) 245-7620

9820 SW 88th St
Miami, FL 33176
Phone (305) 271-6311

42 Collins Ave
#S
Miami Beach, FL 33139
Phone (305) 672-1771

4513 Executive Dr
Fl 2
Naples, FL 34119

1501 SE 24th Rd
Ocala, FL 34471
Phone (352) 257-7777

2029 Professional Center Dr
Orange Park, FL 32073
Phone (570) 352-3063

777 S Douglas Rd
Pembroke Pines, FL 33025
Phone (954) 276-6200

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

490 S Old Wire Rd
Wildwood, FL 34785
Phone (352) 748-3322

2675 N Andrews Ave
Wilton Manors, FL 33311
Phone (954) 563-4711

38250 A Ave
Zephyrhills, FL 33542
Phone (813) 732-5608

Organizations & group practices 6

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.

Hospital & facility affiliations 12

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

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1346200987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S",
            "address_2": "SUITE 503",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164252",
            "telephone_number": "904-399-2829",
            "fax_number": "904-399-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S",
            "address_2": "SUITE 503",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164252",
            "telephone_number": "904-399-2829",
            "fax_number": "904-399-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDER",
        "first_name": "RICKIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME35606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.