NPIMap

Individual provider Active NPI

Sabanayagam Thangam, M.D.

  • Cardiovascular Disease Physician
  • Brandon, FL
National Provider Identifier
1881625028
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME0061427 Issued in FL
Practice address
533 Medical Oaks Ave
Brandon, FL 33511-5961
Phone
(813) 295-5800
Fax
(813) 689-8811
NPI assigned
Jul 5, 2006
Last updated
Apr 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME0061427 FL Primary

Addresses

Primary practice location

533 Medical Oaks Ave
Brandon, FL 33511-5961

Mailing address

PO Box 1997
Brandon, FL 33509-1997
Phone (813) 685-2191

Other identifiers 1

IdentifierTypeStateIssuer
370264200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040202000868 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Vascular Surgery 5597668855 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Vascular Surgery
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Cardiology Assoc. PAGroup PAC ID 4688637598, 20 clinicians

Practice addresses (Care Compare)

635 Eichenfeld Dr
Brandon, FL 33511-5908
Phone 8136846000228

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0061427FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KND Development 59 LLC Current Accepting new patients
Bay Area Cardiology Assoc. PA CurrentSince Mar 3, 2023 Accepting new patients
KND Development 59 LLC CurrentSince Oct 30, 2017 Accepting new patients
KND Development 59, LLC CurrentSince Oct 30, 2017 Accepting new patients
South Brandon Imaging LLC Past Accepting new patients
South Brandon Imaging LLC Past Accepting new patients
North Brandon Imaging LLC Past Accepting new patients
North Brandon Imaging LLC Past Accepting new patients
Sun City Imaging LLC Past Accepting new patients
Sun City Imaging LLC Past Accepting new patients
Total Imaging-Parsons LLC Past Accepting new patients

Locations

635 Eichenfeld Dr
Brandon, FL 33511
Phone (813) 684-6000

13029 Summerfield Square Dr
Riverview, FL 33578
Phone (813) 684-6000

13029 Summerfield Square Dr
Ste 850
Riverview, FL 33578

3030 6th St S
St Petersburg, FL 33705
Phone (727) 894-8719

4555 S Manhattan Ave
Tampa, FL 33611
Phone (813) 540-0093

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61104
  • Direct secure messaging: saba.thangam@hvc.ssdirect.aprima.com

Organizations & group practices 12

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.

Hospital & facility affiliations 1

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1881625028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1997",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335091997",
            "telephone_number": "813-685-2191",
            "fax_number": "813-689-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 MEDICAL OAKS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115961",
            "telephone_number": "813-295-5800",
            "fax_number": "813-689-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THANGAM",
        "first_name": "SABANAYAGAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0061427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370264200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.