NPIMap

Individual provider Active NPI

Gabriel G Sandkovsky, MD

  • Infectious Disease Physician
  • Boca Raton, FL
National Provider Identifier
1528229002
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME112712 Issued in FL
Practice address
2900 N Military TRL Ste 243
Boca Raton, FL 33431-6362
Phone
(561) 496-1095
Fax
(561) 948-4473
NPI assigned
Jun 18, 2008
Last updated
Jan 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 003091 NY
Infectious Disease Physician 207RI0200X ME112712 FL Primary

Addresses

Primary practice location

2900 N Military TRL Ste 243
Boca Raton, FL 33431-6362

Mailing address

2900 N Military TRL Ste 243
Boca Raton, FL 33431-6362
Phone (561) 496-1095

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
I20120726000561 FL Practitioner - Infectious DiseasePractitioner - Internal Medicine 8123186566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Infectious Disease Associates PAGroup PAC ID 2466441399, 7 clinicians
Fairway Physical Therapy LLCGroup PAC ID 3971563222, 85 clinicians

Practice addresses (Care Compare)

2900 N Military TRL
Suite 243
Boca Raton, FL 33431-6362
Phone (561) 393-8224

7100 Fairway Dr
Palm Beach Gardens, FL 33418-3778
Phone (561) 775-7775

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
003091NYMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Disease Associates PA Infectious Disease CurrentSince Aug 1, 2012 Accepting new patients
Hudson Valley Hospital Physician PLLC Past Accepting new patients

Locations

1050 NW 15th St
Ste 205
Boca Raton, FL 33486
Phone (561) 393-8224

2900 N Military Trl
Ste 243
Boca Raton, FL 33431
Phone (561) 393-8224

Interoperability endpoints

  • Direct secure messaging: gabriel.sandkovsky.1@30575.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 4

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": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1528229002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 N MILITARY TRL STE 243",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316362",
            "telephone_number": "561-496-1095",
            "fax_number": "561-948-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N MILITARY TRL STE 243",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316362",
            "telephone_number": "561-496-1095",
            "fax_number": "561-948-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDKOVSKY",
        "first_name": "GABRIEL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-18",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "003091",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME112712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.