Richard M Sag, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME46257 Issued in FL

Practice address

5401 Alhambra Dr
Suite D
Orlando, FL 32808-7081

Phone

(407) 297-1497

Fax

(407) 297-8917

NPI assigned

Jun 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Richard M Sag MD PA

  • Pediatrics Physician
  • Orlando, FL
  • NPI 1306022884
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1649216730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741240",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327741240",
            "telephone_number": "386-774-5211",
            "fax_number": "386-774-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 ALHAMBRA DR",
            "address_2": "SUITE D",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328087081",
            "telephone_number": "407-297-1497",
            "fax_number": "407-297-8917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAG",
        "first_name": "RICHARD",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME46257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046850900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "02435",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Safety First Home Services Corporation
• Safety Harbor Adult Day Care & Activity Center LLC
• Oscar E Saffold, M.D
• Joanne Lynn Sag, ARPN
• Leah Sag, M.D.
• Meenor Sagar, M.D.
• Sage Atlas LLC
• Sage Atlas LLC Dba Brightstar Care of E. Orlando / Lake Nona
• Sage Dental of Alafaya
• Sage Dental of Alafaya 2 PLLC

• Pediatrics Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.