Individual provider Active NPI

Bhagirathy Sahasranaman, MD

  • Psychiatry Physician
  • Fort Lauderdale, FL
National Provider Identifier
1902934508
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME0048631 Issued in FL
Practice address
2900 W Prospect Rd
Fort Lauderdale, FL 33309-2519
Phone
(954) 731-5100
NPI assigned
Mar 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME0048631 FL Primary
Specialist 174400000X ME0048631 FL

Addresses

Primary practice location

2900 W Prospect Rd
Fort Lauderdale, FL 33309-2519

Mailing address

2900 W. Prospect Road
Fort Lauderdale, FL 33309
Phone (954) 731-5100

Other identifiers 2

IdentifierTypeStateIssuer
048791102MedicaidFL
0487911100MedicaidFL

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
I20110824000212 FL Practitioner - Psychiatry 2062682362 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0048631FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson Behavioral Health, Inc. Psychiatry CurrentSince Dec 31, 1987 Accepting new patients
Henderson Behavioral Health, Inc. PastSince Jul 24, 2022 Accepting new patients

Locations

330 SW 27th Ave
Ft Lauderdale, FL 33312
Phone (954) 463-0911

4740 N State Road 7
Ste 201
Lauderdale Lakes, FL 33319
Phone (954) 497-3850

2900 W Prospect Rd
Tamarac, FL 33309
Phone (954) 677-3113

Organizations & group practices 2

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": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1902934508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 W. PROSPECT ROAD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33309",
            "telephone_number": "954-731-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 W PROSPECT RD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333092519",
            "telephone_number": "954-731-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHASRANAMAN",
        "first_name": "BHAGIRATHY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0048631",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0048631",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048791102",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0487911100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.