Individual provider Active NPI

Andrew Sakla, D.O.

  • Internal Medicine Physician
  • Odessa, FL
National Provider Identifier
1861827214
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS12612 Issued in FL
Practice address
7523 Dunbridge Dr
Odessa, FL 33556-2271
Phone
(727) 210-5830
NPI assigned
Sep 4, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DO.2327 AL
Internal Medicine Physician 207R00000X 036.148872 IL
Internal Medicine Physician 207R00000X 04809 KY
Internal Medicine Physician 207R00000X 05-43760 KS
Internal Medicine Physician 207R00000X DO-05075 IA
Internal Medicine Physician 207R00000X 02006145A IN
Internal Medicine Physician 207R00000X 324077 LA
Internal Medicine Physician 207R00000X 78730 GA
Internal Medicine Physician 207R00000X 18058 CA
Internal Medicine Physician 207R00000X E-13340 AR
Internal Medicine Physician 207R00000X DO034895 DC
Internal Medicine Physician 207R00000X 66855 CT
Internal Medicine Physician 207R00000X DR.0063114 CO
Internal Medicine Physician 207R00000X 008699 AZ
Internal Medicine Physician 207R00000X OS12612 FL Primary

Addresses

Primary practice location

7523 Dunbridge Dr
Odessa, FL 33556-2271

Mailing address

2266 Highland Woods Dr
Dunedin, FL 34698-9409

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
I20140719000014 FL Practitioner - Internal Medicine 8729204284 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18058CAMDMental Health Counselor
DO.2327ALMDInternal Medicine Physician
E-13340ARMDInternal Medicine Physician
008699AZMDInternal Medicine Physician
DR.0063114COMDInternal Medicine Physician
66855CTMDInternal Medicine Physician
DO034895DCMDInternal Medicine Physician
OS12612FLMDInternal Medicine Physician
78730GAMDInternal Medicine Physician
DO-05075IAMDInternal Medicine Physician
036.148872ILMDInternal Medicine Physician
02006145AINMDInternal Medicine Physician
05-43760KSMDInternal Medicine Physician
04809KYMDInternal Medicine Physician
324077LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ama Medical Group LLC Internal Medicine CurrentSince Oct 1, 2015 Accepting new patients

Locations

125 Patricia Ave
Dunedin, FL 34698
Phone (727) 331-8740

125 Patricia Ave
Ste B
Dunedin, FL 34698
Phone (727) 331-8740

Interoperability endpoints

  • Direct secure messaging: andrew.sakla@337577483108356.direct.elationemr.com
  • Direct secure messaging: andrew.sakla@297228672368644.direct.elationemr.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1861827214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2266 HIGHLAND WOODS DR",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346989409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7523 DUNBRIDGE DR",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335562271",
            "telephone_number": "727-210-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKLA",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-04",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "DO.2327",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.148872",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "04809",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "05-43760",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "DO-05075",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "02006145A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "324077",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "78730",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "18058",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-13340",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "DO034895",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "66855",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0063114",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "008699",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS12612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, FL

Sources for this page

Verify at the official NPI Registry.