Individual provider Active NPI

Sargine Dupuy, M.D.

  • Pediatrics Physician
  • Opa Locka, FL
National Provider Identifier
1760443899
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME79540 Issued in FL
Practice address
490 Opa Locka Blvd Ste 100
Opa Locka, FL 33054-3563
Phone
(305) 637-6400
Fax
(305) 636-5155
NPI assigned
Mar 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME79540 FL Primary

Addresses

Primary practice location

490 Opa Locka Blvd Ste 100
Opa Locka, FL 33054-3563

Mailing address

5607 NW 27TH Ave Ste 1
Miami, FL 33142-2826
Phone (305) 805-1700

Other identifiers 1

IdentifierTypeStateIssuer
258384400MedicaidFL

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
I20110921000725 FL Practitioner - Pediatric Medicine 3072784172 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jessie Trice Community Health System, Inc Current Accepting new patients
Jessie Trice Community Health System, Inc CurrentSince Aug 2, 2011 Accepting new patients
Jessie Trice Community Health System Inc Current Accepting new patients
Jessie Trice Community Health System Inc CurrentSince Aug 2, 2011 Accepting new patients

Locations

1190 NW 95th St
Ste 304
Miami, FL 33150
Phone (305) 835-2400

5361 NW 22nd Ave
Miami, FL 33142
Phone (305) 835-1586

5607 NW 27th Ave
Ste 1
Miami, FL 33142
Phone (305) 805-1700

20612 NW 27th Ave
Miami Gardens, FL 33056
Phone (305) 835-1615

490 Opa Locka Blvd
Ste 100
Opa Locka, FL 33054

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1760443899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5607 NW 27TH AVE STE 1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331422826",
            "telephone_number": "305-805-1700",
            "fax_number": "305-805-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 OPA LOCKA BLVD STE 100",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330543563",
            "telephone_number": "305-637-6400",
            "fax_number": "305-636-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPUY",
        "first_name": "SARGINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME79540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258384400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Opa Locka, FL

Sources for this page

Verify at the official NPI Registry.