Individual provider Active NPI

Richard Sandler, MD PA

  • Nephrology Physician
  • Plantation, FL
National Provider Identifier
1720009376
Registry record updated Jun 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME27100 Issued in FL
Practice address
201 NW 70TH Ave
Suite a
Plantation, FL 33317-2369
Phone
(954) 583-1151
Fax
(954) 583-1996
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME27100 FL Primary

Addresses

Primary practice location

201 NW 70TH Ave
Suite a
Plantation, FL 33317-2369

Mailing address

201 NW 70TH Ave
Suite a
Plantation, FL 33317-2369
Phone (954) 583-1151

Other identifiers 3

IdentifierTypeStateIssuer
93313OtherFLBCBS
035381700MedicaidFL
005752OtherFLAVMED

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
I20090310000307 FL Practitioner - NephrologyPractitioner - Internal Medicine 7012073489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Missouri, Kansas City, School of Medicine, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

201 NW 82ND Ave
Plantation, FL 33324-7808

201 NW 82ND Ave
Suite 502
Plantation, FL 33324-1857
Phone (954) 583-1151

Hospital & facility affiliations

  • DaVita Plantation Dialysis Dialysis facility, Plantation, FL, CCN 102536
  • HCA Florida Healthcare at Home Home health agency, Coral Springs, FL, CCN 108253
  • Westside Regional Medical Center Hospital, Plantation, FL, CCN 100228
  • Cleveland Clinic Hospital Hospital, Weston, FL, CCN 100289

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME27100FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Sandler MD PA Nephrology CurrentSince Dec 8, 2008 Accepting new patients

Locations

201 NW 70th Ave
Ste A
Plantation, FL 33317
Phone (305) 485-1532

8201 W Broward Blvd
Plantation, FL 33324
Phone (954) 476-3900

201 NW 82nd Ave
Ste 502
Plantation, FL 33324
Phone (954) 236-6602

Interoperability endpoints

  • Direct secure messaging: richard.sandler@290.securemail.mdnavigatorclinical.com

Organizations & group practices 1

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.

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244764800000",
    "number": "1720009376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 NW 70TH AVE",
            "address_2": "SUITE A",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172369",
            "telephone_number": "954-583-1151",
            "fax_number": "954-583-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NW 70TH AVE",
            "address_2": "SUITE A",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172369",
            "telephone_number": "954-583-1151",
            "fax_number": "954-583-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDLER",
        "first_name": "RICHARD",
        "credential": "MD PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2009-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME27100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "93313",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035381700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "005752",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.