Individual provider Active NPI

Sohail Punjwani, MD

  • Psychiatry Physician
  • Tamarac, FL
National Provider Identifier
1386632883
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME54504 Issued in FL
Practice address
7481 W Oakland Park Blvd Ste 100
Tamarac, FL 33319-4985
Phone
(954) 771-7743
Fax
(954) 771-7748
NPI assigned
Oct 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X ME54504 FL
Psychiatry Physician 2084P0800X ME54504 FL Primary

Addresses

Primary practice location

7481 W Oakland Park Blvd Ste 100
Tamarac, FL 33319-4985

Mailing address

1065 NE 125TH St Ste 300
North Miami, FL 33161-5833
Phone (888) 852-6672

Other practice location 1

9218 Kimmer Dr Ste 200
Lone Tree, CO 80124-6733
Phone (303) 683-5620

Other practice location 2

6915 Tutt Blvd Ste 110B
Colorado Springs, CO 80923-3591
Phone (719) 445-1292

Other practice location 3

10301 Hagen Ranch Rd Ste B200
Boynton Beach, FL 33437-3723
Phone (561) 752-9490

Other practice location 4

11430 N Kendall Dr Ste 106
Miami, FL 33176-1041
Phone (305) 279-5535

Other practice location 5

1601 N Palm Ave Ste 211
Pembroke Pines, FL 33026-3204
Phone (954) 447-0010

Other practice location 6

1065 NE 125TH St Ste 206
North Miami, FL 33161-5832
Phone (305) 891-0050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110607000284 FL Practitioner - Psychiatry 0941486328 Reassigns benefits to 1 organization
I20120913000515 CO Practitioner - Psychiatry 0941486328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9218 Kimmer Dr
Suite 200
Lone Tree, CO 80124-6733
Phone (303) 683-5620

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME54504FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Health Systems, P.a. Psychiatry CurrentSince Aug 15, 2013 Accepting new patients
Compass Health Systems, P.a. Psychiatry CurrentSince Aug 15, 2013 Accepting new patients
Compass Colorado Healthcare Systems, Inc. Psychiatry CurrentSince Aug 1, 2012 Accepting new patients
Compass Colorado Healthcare Systems, Inc Psychiatry CurrentSince Aug 1, 2012 Accepting new patients
QMC LLC Past Accepting new patients
SBH Colorado LLC Past Accepting new patients

Locations

6915 Tutt Blvd
Ste 110B
Colorado Springs, CO 80923
Phone (719) 445-1292

7353 Sisters Grv
Colorado Springs, CO 80923
Phone (719) 355-1001

9218 Kimmer Dr
Ste 200
Lone Tree, CO 80124
Phone (303) 683-5620

10301 Hagen Ranch Rd
Ste B200
Boynton Beach, FL 33437
Phone (561) 752-9490

11430 N Kendall Dr
Ste 106
Miami, FL 33176
Phone (305) 279-5535

1065 NE 125th St
Ste 300
North Miami, FL 33161
Phone (305) 891-0050

1065 NE 125th St
Ste 409
North Miami, FL 33161
Phone 8888526672 ext. 2224

1065 NE 125th St
Ste 206
North Miami, FL 33161
Phone (305) 891-0050

1601 N Palm Ave
Ste 211
Pembroke Pines, FL 33026
Phone (954) 447-0010

7031 SW 62nd Ave
South Miami, FL 33143
Phone (305) 284-7585

Interoperability endpoints

  • Direct secure messaging: sohail.punjwani@chs1.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1386632883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 NE 125TH ST STE 300",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615833",
            "telephone_number": "888-852-6672",
            "fax_number": "305-891-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7481 W OAKLAND PARK BLVD STE 100",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333194985",
            "telephone_number": "954-771-7743",
            "fax_number": "954-771-7748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9218 Kimmer Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lone Tree",
            "state": "CO",
            "postal_code": "801246733",
            "country_code": "US",
            "telephone_number": "303-683-5620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6915 Tutt Blvd Ste 110B",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809233591",
            "country_code": "US",
            "telephone_number": "719-445-1292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10301 HAGEN RANCH RD STE B200",
            "address_purpose": "LOCATION",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373723",
            "country_code": "US",
            "telephone_number": "561-752-9490",
            "fax_number": "561-752-9491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11430 N KENDALL DR STE 106",
            "address_purpose": "LOCATION",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761041",
            "country_code": "US",
            "telephone_number": "305-279-5535",
            "fax_number": "305-279-2742",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 N PALM AVE STE 211",
            "address_purpose": "LOCATION",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263204",
            "country_code": "US",
            "telephone_number": "954-447-0010",
            "fax_number": "954-447-0899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1065 NE 125TH ST STE 206",
            "address_purpose": "LOCATION",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615832",
            "country_code": "US",
            "telephone_number": "305-891-0050",
            "fax_number": "305-891-0497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUNJWANI",
        "first_name": "SOHAIL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME54504",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME54504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.