Organization Active NPI

Karthikeyan Sai MD PA

Doing business as Palm Beach Kidney & Hypertension

  • Nephrology Physician
  • Wellington, FL
National Provider Identifier
1386062354
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME109923 Issued in FL
Legal business name
KARTHIKEYAN SAI MD PA
Doing business as
Palm Beach Kidney & Hypertension
Practice address
10111 Forest Hill Blvd
Suite 320
Wellington, FL 33414-6108
Phone
(561) 601-7330
NPI assigned
Apr 7, 2014
Last updated
Jul 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Authorized official

Name
Dr. Karthikeyan Sai, M.D.NPI 1245490184
Title
Director
Phone
(561) 601-7330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME109923 FL Primary

Addresses

Primary practice location

10111 Forest Hill Blvd
Suite 320
Wellington, FL 33414-6108

Mailing address

10111 Forest Hill Blvd
Suite 320
Wellington, FL 33414-6108
Phone (561) 601-7330

Other identifiers 1

IdentifierTypeStateIssuer
3848900MedicaidFL

Other names 1

  • PALM BEACH KIDNEY & HYPERTENSION Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140715000725 FL Part B Supplier - Clinic/Group Practice 4981829595 Receives reassigned benefits from 1 practitioner
Practice locations: Wellington, FL

National Provider Directory

National Provider Directory

Locations

10111 Forest Hill Blvd
Rm 320
Wellington, FL 33414
Phone (561) 601-7330

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406073600000",
    "number": "1386062354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10111 FOREST HILL BLVD",
            "address_2": "SUITE 320",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146108",
            "telephone_number": "561-601-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10111 FOREST HILL BLVD",
            "address_2": "SUITE 320",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146108",
            "telephone_number": "561-601-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARTHIKEYAN SAI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-07",
        "last_updated": "2014-07-23",
        "status": "A",
        "authorized_official_last_name": "SAI",
        "authorized_official_first_name": "KARTHIKEYAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "561-601-7330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME109923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3848900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PALM BEACH KIDNEY & HYPERTENSION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.