Individual provider Active NPI

Sardion Jijelava, MD

  • Neurology Physician
  • Aventura, FL
National Provider Identifier
1790282168
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME79898 Issued in FL
Practice address
21000 NE 28TH Ave Ste 205
Aventura, FL 33180-1402
Phone
(305) 933-5993
Fax
(305) 933-9415
NPI assigned
Apr 11, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME79898 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X
Neurology Physician 2084N0400X 79898 CT
Neurology Physician 2084N0400X 324516 NY
Neurology Physician 2084N0400X A193435 CA

Addresses

Primary practice location

21000 NE 28TH Ave Ste 205
Aventura, FL 33180-1402

Mailing address

9960 NW 116TH Way Ste 13
Medley, FL 33178-1175
Phone (786) 924-1311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20250801003754 CT Practitioner - Neurology 5698216638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nuvance Health Medical Practice CT IncGroup PAC ID 4789597691, 742 clinicians

Practice addresses (Care Compare)

79 Sand Pit Rd
Suite 102
Danbury, CT 06810-4010
Phone (203) 749-5700

Hospital & facility affiliations

  • Western Connecticut Home Care Inc Home health agency, Danbury, CT, CCN 077088
  • Danbury Hospital Hospital, Danbury, CT, CCN 070033
  • Norwalk Hospital Hospital, Norwalk, CT, CCN 070034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A193435CAMDNeurology Physician
79898CTMDNeurology Physician
324516NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvance Health Medical Practice CT, Inc. CurrentSince Jul 14, 2025 Accepting new patients

Locations

79 Sand Pit Rd
Ste 301
Danbury, CT 06810
Phone (203) 748-2551

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

79 Sand Pit Rd
Ste 102
Danbury, CT 06810
Phone (203) 749-5700

79 Sand Pit Rd
Danbury, CT 06810
Phone (203) 749-5700

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 7

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": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1790282168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9960 NW 116TH WAY STE 13",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331781175",
            "telephone_number": "786-924-1311",
            "fax_number": "786-924-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21000 NE 28TH AVE STE 205",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801402",
            "telephone_number": "305-933-5993",
            "fax_number": "305-933-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIJELAVA",
        "first_name": "SARDION",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-11",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME79898",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "79898",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "324516",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A193435",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.