Sanjay K Madan, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0073402 Issued in FL

Practice address

3190 N McMullen Booth Rd
Suite 201
Clearwater, FL 33761-2013

Phone

(727) 669-2969

Fax

(727) 669-7460

NPI assigned

Oct 12, 2006

Last updated

Aug 20, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DCJBAA/Endpoint/DCJBAA

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.

• A Plus Medcare LLC

  • Internal Medicine Physician
  • Clearwater, FL
  • NPI 1568923472
  NPD Authorized official
• Sanjay K Madan MD PA

  • Internal Medicine Physician
  • Clearwater, FL
  • NPI 1639244999
  Authorized official Same address or phone
• All Americans Internists PA

  • Internal Medicine Physician
  • Largo, FL
  • NPI 1730375239
  NPD (past)
• Allhealth Primary Care LLC

  • Internal Medicine Physician
  • Clearwater, FL
  • NPI 1194047332
  NPD (past)
• Cardiopulmonary Associates of the Treasure Coast PA

  • Specialist
  • Port St Lucie, FL
  • NPI 1104853498
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282262400000",
    "number": "1912096645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 N MCMULLEN BOOTH RD",
            "address_2": "SUITE 201",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612013",
            "telephone_number": "727-669-2969",
            "fax_number": "727-669-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 N MCMULLEN BOOTH RD",
            "address_2": "SUITE 201",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612013",
            "telephone_number": "727-669-2969",
            "fax_number": "727-669-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADAN",
        "first_name": "SANJAY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2010-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0073402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257472100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Alexander Mackenzie, RPH
• Lynnette D Mackenzie, PSYD
• Nicole Kristine Macknew, LCSW
• Katherine A Macoul, MD
• Michele Macready, RN
• Angelina Maddaloni, PA-C
• Edward Henry Madden
• Samuel Maddox
• Meghan Madigan
• Maggie Goodyear Inc. (Goodyear Wellness)

• Internal Medicine Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.