Individual provider Active NPI

Randell Jay Sehres, MD

  • Family Medicine Physician
  • Sun City Center, FL
National Provider Identifier
1891724704
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME80519 Issued in FL
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

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100928001335 FL Practitioner - Family Practice 3577461235 Reassigns benefits to 2 organizations

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
Absolute Surgical Specialists, PLLCGroup PAC ID 0941233258, 4 clinicians
Sunshine Medicine PAGroup PAC ID 9133537301, 3 clinicians

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 Home health agency, Tampa, FL, CCN 103145
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075
  • Manatee Memorial Hospital Hospital, Bradenton, FL, CCN 100035
  • HCA Florida South Shore Hospital Hospital, Sun City Center, FL, CCN 100259
  • H Lee Moffitt Cancer Center & Research Institute I Hospital, Tampa, FL, CCN 100271

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Medicine PA Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
Absolute Surgical Specialists, PLLC CurrentSince Jun 1, 2022 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.