Individual provider Active NPI

Sameeksha Patil NG-a-Kien, PA-C

  • Physician Assistant
  • Delray Beach, FL
National Provider Identifier
1407388382
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9110175 Issued in FL
Practice address
190 Congress Park Dr
Ste # 160
Delray Beach, FL 33445-4706
Phone
(561) 330-4358
NPI assigned
Mar 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9110175 FL Primary

Addresses

Primary practice location

190 Congress Park Dr
Ste # 160
Delray Beach, FL 33445-4706

Mailing address

190 Congress Park Dr
Ste # 160
Delray Beach, FL 33445-4706
Phone (561) 330-4358

Other names 1

  • Miss Sameeksha Patil Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170913002063 FL Practitioner - Physician Assistant 9739452780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Sinus and Snoring Specialists, LLCGroup PAC ID 0547623209, 6 clinicians

Practice addresses (Care Compare)

1301 E Broward Blvd
Suite 240
Fort Lauderdale, FL 33301-2111
Phone (954) 983-1211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9110175FLMDPhysician Assistant

Organizations & group practices 1

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": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1407388382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 CONGRESS PARK DR",
            "address_2": "STE # 160",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334454706",
            "telephone_number": "561-330-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 CONGRESS PARK DR",
            "address_2": "STE # 160",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334454706",
            "telephone_number": "561-330-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATIL NG-A-KIEN",
        "first_name": "SAMEEKSHA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-30",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9110175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMEEKSHA",
            "last_name": "PATIL",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.