Individual provider Active NPI

Evelio E Sardina, MD PHD

  • Critical Care Medicine (Internal Medicine) Physician
  • Stuart, FL
National Provider Identifier
1932171204
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
ME117690 Issued in FL
Practice address
3801 S Kanner Hwy
Stuart, FL 34994-4801
Phone
(772) 223-4978
Fax
(772) 223-2847
NPI assigned
Feb 2, 2006
Last updated
Nov 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME117690 FL Primary
Pulmonary Disease Physician 207RP1001X ME117690 FL

Addresses

Primary practice location

3801 S Kanner Hwy
Stuart, FL 34994-4801

Mailing address

PO Box 417
Stuart, FL 34995-0417
Phone (772) 223-2832

Other practice location 1

2392 SE Ocean Blvd
Stuart, FL 34996
Phone (772) 223-4978

Other identifiers 2

IdentifierTypeStateIssuer
14U8FOtherFLFLORIDA BLUE
010849400MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address esardina31607@direct.martinhealth.org

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
I20140303000616 FL Practitioner - General PracticePractitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Hospitalist 0840237863 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of South Florida College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1025 Military TRL
Suite 211
Jupiter, FL 33458-7040
Phone (314) 276-0712

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.26 of 100Reported as apm
Quality
80.2
Promoting interoperability
99.24
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary & Internal Medicine Associates Inc Pulmonary Disease CurrentSince Dec 25, 2013 Accepting new patients
Wellness & Concierge Care of the Palm Beaches LLC CurrentSince Jun 15, 2023 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Thrive Wellness and Primary Care, LLC CurrentSince Oct 1, 2023 Accepting new patients
Associates of Pulmonary Medicine LLC Pulmonary Disease PastSince Apr 5, 2020 Accepting new patients

Locations

1025 Military Trl
Ste 211
Jupiter, FL 33458
Phone (314) 276-0712

2221 SE Ocean Blvd
Ste 100
Stuart, FL 34996
Phone (561) 283-4428

Interoperability endpoints

  • Direct secure messaging: esardina2501012@direct.ccf.org
  • Direct secure messaging: esardina27589@jupitermedicalcenter.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1932171204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 417",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349950417",
            "telephone_number": "772-223-2832",
            "fax_number": "772-223-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 S KANNER HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944801",
            "telephone_number": "772-223-4978",
            "fax_number": "772-223-2847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2392 SE Ocean Blvd",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "34996",
            "country_code": "US",
            "telephone_number": "772-223-4978",
            "fax_number": "772-223-2847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARDINA",
        "first_name": "EVELIO",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD  PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2020-11-05",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME117690",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME117690",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "14U8F",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010849400",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "esardina31607@direct.martinhealth.org",
            "affiliation": "N",
            "address_1": "3801 S Kanner Hwy Ste 200",
            "city": "Stuart",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349944801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.