Active NPI
Sailesh M. Dave, M.D.
- Internal Medicine Physician
- Hollywood, FL
National Provider Identifier
1720042740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0037612
- Practice address
- 4050 Sheridan Street
Ste. D
Hollywood, FL 33021-3561 - Phone
- (954) 989-7441
- Fax
- (954) 989-7454
- NPI assigned
- Apr 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0037612 | FL | Primary |
Addresses
Primary practice location
4050 Sheridan Street
Ste. D
Hollywood, FL 33021-3561
Mailing address
1117 E Hallandale Beach Blvd.
Hallandale Beach, FL 33009-4488
Phone (954) 454-6300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0037612 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Harry Pepe and Associates Inc | Past | Accepting new patients |
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.
-
- Adult Medicine Physician
- Hollywood, FL
- NPI 1841232519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346976000000",
"number": "1720042740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1117 E HALLANDALE BEACH BLVD.",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330094488",
"telephone_number": "954-454-6300",
"fax_number": "954-266-4006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4050 SHERIDAN STREET",
"address_2": "STE. D",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330213561",
"telephone_number": "954-989-7441",
"fax_number": "954-989-7454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVE",
"first_name": "SAILESH",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2012-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "0037612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.