Individual provider Active NPI

Sasha Ross Lazarus, M.D.

  • Obstetrics & Gynecology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1881893238
Registry record updated Mar 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2009005464 Issued in MO
Practice address
1600 S Andrews Ave
West Wing / Suite 323
Fort Lauderdale, FL 33316-2510
Phone
(954) 355-5110
NPI assigned
Jul 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2009005464 MO Primary
Obstetrics & Gynecology Physician 207V00000X ME113546 FL

Addresses

Primary practice location

1600 S Andrews Ave
West Wing / Suite 323
Fort Lauderdale, FL 33316-2510

Mailing address

1600 S Andrews Ave
West Wing / Suite 323
Fort Lauderdale, FL 33316-2510
Phone (954) 355-5110

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
I20130311000427 FL Practitioner - Obstetrics/Gynecology 7618022260 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

201 NW 82ND Ave
104 Plantation Gynecologic Associates
Plantation, FL 33324-1853
Phone (954) 472-2201

3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
Vitalmd Group Holding LLC Obstetrics & Gynecology CurrentSince Sep 1, 2020 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Jun 30, 2020 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Jun 30, 2020 Accepting new patients
Premiere Perinatal Associates PA Past Accepting new patients
Phoenix Obstetrics and Gynecology LLC Obstetrics & Gynecology Past Accepting new patients

Locations

1600 S Andrews Ave
Ste 323
Ft Lauderdale, FL 33316
Phone (954) 355-5110

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

201 NW 82nd Ave
Ste 104
Plantation, FL 33324
Phone (954) 472-2201

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394064000000",
    "number": "1881893238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S ANDREWS AVE",
            "address_2": "WEST WING / SUITE 323",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162510",
            "telephone_number": "954-355-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S ANDREWS AVE",
            "address_2": "WEST WING / SUITE 323",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162510",
            "telephone_number": "954-355-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZARUS",
        "first_name": "SASHA",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-16",
        "last_updated": "2014-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2009005464",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME113546",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.