Individual provider Active NPI

Deepti Bhandare, MD

  • Cardiovascular Disease Physician
  • Sebring, FL
National Provider Identifier
1568624427
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME115481 Issued in FL
Practice address
4638 Sun'N Lake Blvd
Sebring, FL 33872
Phone
(863) 386-0055
Fax
(863) 386-0118
NPI assigned
Jul 1, 2008
Last updated
Oct 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301089682 MI
Cardiovascular Disease Physician 207RC0000X ME115481 FL Primary

Addresses

Primary practice location

4638 Sun'N Lake Blvd
Sebring, FL 33872

Mailing address

4638 Sun'N Lake Blvd
Sebring, FL 33872-2176
Phone (863) 386-0055

Other practice location 1

4638 Sun'n Lake Blvd
Sebring, FL 33872-2176
Phone (863) 386-0055

Other practice location 2

1352 US Highway 27 N
Lake Placid, FL 33852-7950
Phone (863) 386-0055

Other identifiers 1

IdentifierTypeStateIssuer
009261700MedicaidFL

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
I20130816000184 FL Practitioner - Cardiovascular Disease (Cardiology) 2466694765 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventist Health System-Sunbelt IncGroup PAC ID 0749232445, shared by 8 NPIs, 100 clinicians

Practice addresses (Care Compare)

1210 US Hwy 27 N
Lake Placid, FL 33852-7948
Phone (863) 465-3777

4200 Sun N Lake Blvd
Sebring, FL 33872-1986
Phone (863) 314-4466

4638 Sun N Lake Blvd
Sebring, FL 33872-2176
Phone (863) 386-0055

522 Carlton St
Wauchula, FL 33873-3408
Phone (863) 773-0975

524 Carlton St
Wauchula, FL 33873-3408
Phone (863) 386-0055

526 Carlton St
Wauchula, FL 33873-3408
Phone (863) 386-0055

735 S 5TH Ave
Wauchula, FL 33873-3158
Phone (863) 773-3101

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301089682MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System-Sunbelt Inc CurrentSince Aug 1, 2013 Accepting new patients
Adventist Health System-Sunbelt Inc CurrentSince Aug 1, 2013 Accepting new patients
Adventist Health System-Sunbelt Inc Cardiovascular Disease Current Accepting new patients
Adventist Health System-Sunbelt Inc Internal Medicine Past Accepting new patients

Locations

1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777

1352 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 385-1900

4638 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 386-0055

522 Carlton St
Wauchula, FL 33873
Phone (863) 773-0975

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: dbhandare617831@adventhealth.direct-ci.com

Organizations & group practices 4

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 6

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": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1568624427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4638 SUN'N LAKE BLVD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338722176",
            "telephone_number": "863-386-0055",
            "fax_number": "863-386-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4638 SUN'N LAKE BLVD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "33872",
            "telephone_number": "863-386-0055",
            "fax_number": "863-386-0118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4638 Sun'n Lake Blvd",
            "address_purpose": "LOCATION",
            "city": "Sebring",
            "state": "FL",
            "postal_code": "338722176",
            "country_code": "US",
            "telephone_number": "863-386-0055",
            "fax_number": "863-386-0118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1352 US Highway 27 N",
            "address_purpose": "LOCATION",
            "city": "Lake Placid",
            "state": "FL",
            "postal_code": "338527950",
            "country_code": "US",
            "telephone_number": "863-386-0055",
            "fax_number": "863-386-0118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHANDARE",
        "first_name": "DEEPTI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301089682",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME115481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009261700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

Verify at the official NPI Registry.