Active NPI
Imran Sajan, MD
- Pediatric Critical Care Medicine Physician
- St Petersburg, FL
National Provider Identifier
1831380583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- ME144096
- Practice address
- 501 6TH Ave S
St Petersburg, FL 33701-4634 - Phone
- (727) 767-4343
- Fax
- (727) 767-6463
- NPI assigned
- Aug 7, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | ME144096 | FL | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | ME144096 | FL | Primary |
Addresses
Primary practice location
501 6TH Ave S
St Petersburg, FL 33701-4634
Mailing address
501 6TH Ave S
St Petersburg, FL 33701-4634
Phone (727) 767-4343
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME144096 | FL | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Past | Accepting new patients | |
| Midwest Pediatric Cardiology, P.C. | Pediatric Cardiology | Past | Accepting new patients |
| Cooper Pediatrics | Past | Accepting new patients | |
| Cooper Pediatric Specialists, PC | Past | Accepting new patients |
Interoperability endpoints
- isajan742220@direct.hopkinsmedicine.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Advocate Medical Group
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Pediatrics Physician
- Camden, NJ
- NPI 1306867585
-
- Pediatrics Physician
- Camden, NJ
- NPI 1144268277
-
- Pediatric Cardiology Physician
- Oak Lawn, IL
- NPI 1962483669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627430400000",
"number": "1831380583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 6TH AVE S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014634",
"telephone_number": "727-767-4343",
"fax_number": "727-767-6463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 6TH AVE S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014634",
"telephone_number": "727-767-4343",
"fax_number": "727-767-6463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAJAN",
"first_name": "IMRAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-07",
"last_updated": "2021-07-28",
"certification_date": "2021-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "FL",
"license": "ME144096",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "FL",
"license": "ME144096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
- Saint Petersburg Interventional Pain Management LLC
- Saint Petersburg Neurology Clinic
- Saint Petersburg SNF LLC (Bayside Rehabilitation and Health Center)
- Saint Petersburg SNF LLC (Bayside Rehabilitaiton and Health Center)
- Saira Psychology LLC
- Kristin Leah Sakadales
- Helen Katerina Sakis, BA
- Bryanne Elisabeth Sakitis, CPNP-AC/PC
- Yhia Sakr, MD
- Lisandra De Las Mercedes Sala Herrera
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.