Individual provider Active NPI

Sam J Sugar, MD

  • Internal Medicine Physician
  • Ft Lauderdale, FL
National Provider Identifier
1346354529
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME81368 Issued in FL
Practice address
5630 Oaktree Ave
Ft Lauderdale, FL 33312
Phone
(954) 613-5740
Fax
(954) 613-5668
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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 ME81368 FL Primary

Addresses

Primary practice location

5630 Oaktree Ave
Ft Lauderdale, FL 33312

Mailing address

5630 Oaktree Ave
Ft Lauderdale, FL 33312
Phone (954) 613-5740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME81368FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sam J Sugar MD Facp CurrentSince Oct 13, 2024 Accepting new patients
Embracepsych, Inc Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1346354529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5630 OAKTREE AVE",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "33312",
            "telephone_number": "954-613-5740",
            "fax_number": "954-613-5668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5630 OAKTREE AVE",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "33312",
            "telephone_number": "954-613-5740",
            "fax_number": "954-613-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGAR",
        "first_name": "SAM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME81368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.