Active NPI
Sahar I Daghistani, PA-C
- Physician Assistant
- Miami, FL
National Provider Identifier
1811271422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9106180
- Practice address
- 8900 N Kendall Dr
Miami Cancer Institute
Miami, FL 33176-2118 - Phone
- (786) 596-2000
- Fax
- (305) 279-7778
- NPI assigned
- Sep 30, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9106180 | FL | |
| Physician Assistant | 363A00000X | PA9106180 | FL | Primary |
Addresses
Primary practice location
8900 N Kendall Dr
Miami Cancer Institute
Miami, FL 33176-2118
Mailing address
PO Box 743144
Atlanta, GA 30374-3144
Phone (786) 596-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004092000 | Medicaid | FL |
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)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9106180 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Oncology LLC | 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.
-
- Hematology & Oncology Physician
- Miami, FL
- NPI 1679978118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613433600000",
"number": "1811271422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 743144",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303743144",
"telephone_number": "786-596-2000",
"fax_number": "305-279-7778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8900 N KENDALL DR",
"address_2": "MIAMI CANCER INSTITUTE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331762118",
"telephone_number": "786-596-2000",
"fax_number": "305-279-7778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAGHISTANI",
"first_name": "SAHAR",
"middle_name": "I",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-30",
"last_updated": "2021-02-16",
"certification_date": "2021-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9106180",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9106180",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004092000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.