NPIMap

Individual provider Active NPI

Sandeep Bajaj, M.D.

  • Interventional Cardiology Physician
  • Winter Park, FL
National Provider Identifier
1447254800
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME64582 Issued in FL
Practice address
483 N Semoran Blvd
Suite 102
Winter Park, FL 32792-3800
Phone
(407) 645-1847
Fax
(321) 274-0246
NPI assigned
Jun 13, 2005
Last updated
Jun 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME64582 FL
Interventional Cardiology Physician 207RI0011X ME64582 FL Primary

Addresses

Primary practice location

483 N Semoran Blvd
Suite 102
Winter Park, FL 32792-3800

Mailing address

483 N Semoran Blvd
Suite 102
Winter Park, FL 32792-3800
Phone (407) 645-1847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040128000283 FL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 7810899143 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Cardiology PAGroup PAC ID 3678475993, 22 clinicians

Practice addresses (Care Compare)

483 N Semoran Blvd
Winter Park, FL 32792-3800
Phone (407) 645-1847

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Varicose vein removal89
Leg revascularization (restoring blood flow)23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME64582FLMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Icc, LLC CurrentSince Aug 2, 2025 Accepting new patients
Gopal & Saroj Basisht PTR PastSince Jan 1, 2006 Accepting new patients
Doctors of Clinical Specialties LLC Past Accepting new patients
Florida Radiology Centers LLC PastSince Apr 1, 2007 Accepting new patients
Clermont Ambulatory Surgical Center PastSince Apr 30, 2003 Accepting new patients
Guardians of Care, LLC PastSince May 1, 2017 Accepting new patients
Florida Gastroenterology PA PastSince Jan 1, 1990 Accepting new patients

Locations

483 N Semoran Blvd
Ste 103
Winter Park, FL 32792
Phone (407) 215-6370

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: sandeep.bajaj@flcard.directbygreenway.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1447254800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 N SEMORAN BLVD",
            "address_2": "SUITE 102",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923800",
            "telephone_number": "407-645-1847",
            "fax_number": "321-274-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 N SEMORAN BLVD",
            "address_2": "SUITE 102",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923800",
            "telephone_number": "407-645-1847",
            "fax_number": "321-274-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAJAJ",
        "first_name": "SANDEEP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME64582",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME64582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.