Individual provider Active NPI

Raju Sadal, PA

  • Physician Assistant
  • North Miami, FL
National Provider Identifier
1669675203
Registry record updated Jul 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9111959 Issued in FL
Practice address
1065 NE 125TH St Ste 206
North Miami, FL 33161-5832
Phone
(305) 891-0050
Fax
(518) 240-4538
NPI assigned
Jun 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9111959 FL Primary

Addresses

Primary practice location

1065 NE 125TH St Ste 206
North Miami, FL 33161-5832

Mailing address

2107 Alfred Dr
Boynton Beach, FL 33426-7141
Phone (518) 227-5101

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200828001547 FL Practitioner - Physician Assistant 6608927454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2107 Alfred Dr
Boynton Beach, FL 33426-7141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Health Systems, P.a. Physician Assistant CurrentSince Aug 15, 2023 Accepting new patients
Nathan Littauer Hospital Association Past Accepting new patients

Locations

1065 NE 125th St
Ste 300
North Miami, FL 33161
Phone (305) 891-0050

1065 NE 125th St
Ste 206
North Miami, FL 33161
Phone (305) 891-0050

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751587200000",
    "number": "1669675203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 ALFRED DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334267141",
            "telephone_number": "518-227-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 NE 125TH ST STE 206",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615832",
            "telephone_number": "305-891-0050",
            "fax_number": "518-240-4538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADAL",
        "first_name": "RAJU",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-11",
        "last_updated": "2025-07-04",
        "certification_date": "2025-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9111959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

Verify at the official NPI Registry.