Active NPI
Randell Jay Sehres, MD
- Family Medicine Physician
- Sun City Center, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME80519
- Practice address
- 1046 Cypress Village Blvd
Sun City Center, FL 33573-6845 - Phone
- (813) 633-0081
- Fax
- (813) 633-0082
- NPI assigned
- Jul 2, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME80519 | FL | Primary |
Addresses
Primary practice location
1046 Cypress Village Blvd
Sun City Center, FL 33573-6845
Mailing address
1046 Cypress Village Blvd
Sun City Center, FL 33573-6845
Phone (813) 633-0081
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Miami, LM Miller School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1046 Cypress Village Blvd
Sun City Center, FL 33573-6845
Phone (813) 633-0081
2100 Manatee Ave W
Bradenton, FL 34205-5428
Phone (941) 896-8676
Hospital & facility affiliations
- Trilogy Home Healthcare
- St Josephs Hospital
- Manatee Memorial Hospital
- HCA Florida South Shore Hospital
- H Lee Moffitt Cancer Center & Research Institute I
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunshine Medicine PA | Family Medicine | Current | Accepting new patients |
| Absolute Surgical Specialists, PLLC | Current | Accepting new patients | |
| Kreider Chiropractic Inc | Past | Accepting new patients |
Locations
2100 Manatee Ave W
Bradenton, FL 34205
Phone (941) 896-8676
9835 Lake Worth Rd
Ste 16373
Lake Worth, FL 33467
1046 Cypress Village Blvd
Sun City Ctr, FL 33573
Phone (813) 633-0081
Organizations & group practices 3
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.
-
- Colon & Rectal Surgery Physician
- Sun City Center, FL
- NPI 1548305782
-
- Chiropractor
- Brandon, FL
- NPI 1063823359
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Tampa, FL
- NPI 1740509876
-
- Special Hospital
- Tampa, FL
- NPI 1780653618
-
- General Acute Care Hospital
- Bradenton, FL
- NPI 1760472799
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
-
- General Acute Care Hospital
- Sun City Center, FL
- NPI 1164476867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1891724704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1046 CYPRESS VILLAGE BLVD",
"city": "SUN CITY CENTER",
"state": "FL",
"postal_code": "335736845",
"telephone_number": "813-633-0081",
"fax_number": "813-633-0082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1046 CYPRESS VILLAGE BLVD",
"city": "SUN CITY CENTER",
"state": "FL",
"postal_code": "335736845",
"telephone_number": "813-633-0081",
"fax_number": "813-633-0082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEHRES",
"first_name": "RANDELL",
"middle_name": "JAY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-02",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME80519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sun City Center, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.