Yash Pal Sangwan, MD

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

78773 Issued in FL

Practice address

1411 S 14TH St
Ste C
Fernandina Beach, FL 32034-3031

Phone

(904) 261-6209

Fax

(904) 261-0732

NPI assigned

Oct 10, 2005

Last updated

Jun 13, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Colorectal Surgery (Proctology)Also: General Surgery

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Medical Center - Nassau Hospital, Fernandina Beach, FL, CCN 100140

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JBJCBA/Endpoint/JBJCBA

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.

• Yash P Sangwan M D P a

  • Surgery Physician
  • Fernandina Beach, FL
  • NPI 1396057733
  Authorized official Same address or phone

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

• Baptist Medical Center of Nassau Inc

  dba Baptist Medical Center Nassau

  • General Acute Care Hospital
  • Fernandina Beach, FL
  • NPI 1518024462
  Care Compare affiliation

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276387200000",
    "number": "1578551032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 S 14TH ST",
            "address_2": "STE C",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320343031",
            "telephone_number": "904-261-6209",
            "fax_number": "904-261-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 S 14TH ST",
            "address_2": "STE C",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320343031",
            "telephone_number": "904-261-6209",
            "fax_number": "904-261-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGWAN",
        "first_name": "YASH",
        "middle_name": "PAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2010-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "FL",
            "license": "78773",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME78773",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sepideh Sabooree, MD, DMD
• Scott A Sachatello, MD
• Randy A Sag, M.D.
• Saltzman, Tanis, Pittell, Levin and Jacobson, LLC (Pediatric Associates)
• Sammy Perkins MD PC
• Robert D Santrock, M.D.
• Dana Renee Sargent, LPN
• Kelly Ann Sayers, LCSW
• Richard Anton Schiano, ARNP FNP-BC
• Baylee Anne Schneider

• Colon & Rectal Surgery Physician in Fernandina Beach, FL
• Providers in Fernandina Beach, FL by specialty
• Colon & Rectal Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.