Individual provider Active NPI

Masoud Sakhaei, M.D.

  • Pediatrics Physician
  • Tallahassee, FL
National Provider Identifier
1356337596
Registry record updated May 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME73837 Issued in FL
Practice address
111 S Magnolia Dr
Suite 10-11
Tallahassee, FL 32301-2973
Phone
(850) 878-5322
Fax
(850) 878-3120
NPI assigned
Sep 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME73837 FL Primary

Addresses

Primary practice location

111 S Magnolia Dr
Suite 10-11
Tallahassee, FL 32301-2973

Mailing address

9164 Sugar Meadow TRL
Jacksonville, FL 32256-9620
Phone (904) 662-4460

Other identifiers 1

IdentifierTypeStateIssuer
263972602MedicaidFL

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

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304812800000",
    "number": "1356337596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9164 SUGAR MEADOW TRL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569620",
            "telephone_number": "904-662-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S MAGNOLIA DR",
            "address_2": "SUITE 10-11",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323012973",
            "telephone_number": "850-878-5322",
            "fax_number": "850-878-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKHAEI",
        "first_name": "MASOUD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2011-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME73837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263972602",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.