Individual provider Active NPI

Saminder Singh, M.D.

  • Family Medicine Physician
  • Port St John, FL
National Provider Identifier
1740592815
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME126037 Issued in FL
Practice address
7227 N US Highway 1 Ste 100
Port St John, FL 32927-5034
Phone
(321) 637-1595
Fax
(321) 637-1596
NPI assigned
Jul 6, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036135921 IL
Family Medicine Physician 207Q00000X ME126037 FL Primary
Family Medicine Physician 207Q00000X 4301096708 MI
Family Medicine Physician 207Q00000X 01072965A IN

Addresses

Primary practice location

7227 N US Highway 1 Ste 100
Port St John, FL 32927-5034

Mailing address

5961 N Lincoln Ave Ste 102
Chicago, IL 60659-3758
Phone (312) 702-3923

Other practice location 1

5961 N Lincoln Ave Ste 102
Chicago, IL 60659-3758
Phone (312) 702-3923 ext. 23923

Other identifiers 2

IdentifierTypeStateIssuer
PENDINGMedicaidFL
LI684OtherFLMEDICARE

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
I20190716000976 FL Practitioner - Family Practice 2769616432 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians

Practice addresses (Care Compare)

1855 Knox McRae Dr
Titusville, FL 32780-5492
Phone (321) 269-2028

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.79 of 100Reported as apm
Quality
86.5
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301096708MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health First Medical Group, LLC Family Medicine CurrentSince Aug 15, 2019 Accepting new patients
Viera Wellness Care LLC Family Medicine Current Accepting new patients
Health First Medical Group, LLC CurrentSince Aug 15, 2019 Accepting new patients
Fastrac Medical, P.C. Past Accepting new patients

Locations

699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272

7227 N US Highway 1
Ste 100
Port St John, FL 32927
Phone (321) 269-2028

3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771

1855 Knox McRae Dr
Titusville, FL 32780
Phone (321) 269-2028

7125 Murrell Rd
Ste D
Viera, FL 32940
Phone (321) 434-2524

Interoperability endpoints

  • Direct secure messaging: ssingh28308@epicdirect.hf.org

Organizations & group practices 5

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 6

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": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1740592815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5961 N LINCOLN AVE STE 102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593758",
            "telephone_number": "312-702-3923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7227 N US HIGHWAY 1 STE 100",
            "city": "PORT ST JOHN",
            "state": "FL",
            "postal_code": "329275034",
            "telephone_number": "321-637-1595",
            "fax_number": "321-637-1596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5961 N Lincoln Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606593758",
            "country_code": "US",
            "telephone_number": "312-702-3923 x23923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINGH",
        "first_name": "SAMINDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-06",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036135921",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME126037",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301096708",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01072965A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "LI684",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St John, FL

Sources for this page

Verify at the official NPI Registry.