Individual provider Active NPI

Yash V Sachdev, M.D.

  • Urology Physician
  • Titusville, FL
National Provider Identifier
1467481689
Registry record updated Jan 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME0029309 Issued in FL
Practice address
860 Century Medical Dr
Titusville, FL 32796-2141
Phone
(321) 267-8260
Fax
(321) 267-5106
NPI assigned
Jul 1, 2006
Last updated
Jan 18, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME0029309 FL Primary

Addresses

Primary practice location

860 Century Medical Dr
Titusville, FL 32796-2141

Mailing address

860 Century Medical Dr
Titusville, FL 32796-2141
Phone (321) 267-8260

Other identifiers 2

IdentifierTypeStateIssuer
591991691OtherFLFEDERAL ID NUMBER
0598429MedicaidFL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100308000700 FL Practitioner - Urology 0042355570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1961
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Brevard Medical Support IncGroup PAC ID 7618870296, 62 clinicians

Practice addresses (Care Compare)

951 N Washington Ave
Titusville, FL 32796-2163
Phone (321) 268-6834

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
75.26
Promoting interoperability
100
Improvement activities
40
Cost
78.14

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Brevard Medical Support, Inc CurrentSince Mar 1, 2020 Accepting new patients
Sachdev Psychiatric Services, P.L. PastSince Dec 23, 2009 Accepting new patients

Locations

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

Interoperability endpoints

  • Direct secure messaging: yash.sachdev.1@17832.direct.athenahealth.com

Organizations & group practices 3

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 1

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": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263772800000",
    "number": "1467481689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 CENTURY MEDICAL DR",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962141",
            "telephone_number": "321-267-8260",
            "fax_number": "321-267-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 CENTURY MEDICAL DR",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962141",
            "telephone_number": "321-267-8260",
            "fax_number": "321-267-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACHDEV",
        "first_name": "YASH",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2010-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME0029309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL ID NUMBER",
            "identifier": "591991691",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0598429",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

Verify at the official NPI Registry.