Sabaretnam Yogendra, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

ME55648 Issued in FL

Practice address

720 N Bay St Ste 4
Eustis, FL 32726

Phone

(352) 483-1960

Fax

(352) 483-0660

NPI assigned

Jan 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1760460679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N BAY ST STE 4",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327262964",
            "telephone_number": "352-483-1960",
            "fax_number": "352-483-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 N BAY ST STE 4",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "32726",
            "telephone_number": "352-483-1960",
            "fax_number": "352-483-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOGENDRA",
        "first_name": "SABARETNAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME55648",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME55648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039648600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessie Woodell
• Karlisa Woods
• Wright'S Ministry of Love
• Priyarjsinh Yadav
• Lori Yoder
• Stephen E Young, DO
• Summer B Young, DMD
• Dorotha Zimmerman
• Mark T Zimmerman, D.C.
• Rachel Meile Zimmerman, SLPA

• Pulmonary Disease Physician in Eustis, FL
• Providers in Eustis, FL by specialty
• Pulmonary Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.