Individual provider Active NPI

Sanford David Altman, M.D.

  • Vascular & Interventional Radiology Physician
  • Miami, FL
National Provider Identifier
1962436220
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
ME58495 Issued in FL
Practice address
16401 NW 2ND Ave Ste 101
Miami, FL 33169-6036
Phone
(305) 948-5333
Fax
(305) 948-3246
NPI assigned
Jul 10, 2006
Last updated
Apr 15, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X ME58495 FL Primary

Addresses

Primary practice location

16401 NW 2ND Ave Ste 101
Miami, FL 33169-6036

Mailing address

16401 NW 2ND Ave Ste 101
Miami, FL 33169-6036
Phone (305) 948-5333

Other identifiers 2

IdentifierTypeStateIssuer
219509OtherFLAVMED PIN
18527OtherFLBCBS OF FL PIN

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
I20081206000190 FL Practitioner - Interventional Radiology 6608957923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
University of Miami, LM Miller School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Open Access Miami, LLCGroup PAC ID 4688735269, 2 clinicians

Practice addresses (Care Compare)

16401 NW 2ND Ave
Suite 101
Miami, FL 33169-6036
Phone (305) 948-5333

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
93.33
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Open Access Miami, LLC Vascular & Interventional Radiology CurrentSince May 1, 2008 Accepting new patients
Couriermed Inc CurrentSince Mar 7, 2006 Accepting new patients
Open Access Vascular Access Center, Inc Vascular & Interventional Radiology CurrentSince Jan 12, 2000 Accepting new patients

Locations

16400 NW 2nd Ave
Ste 101
North Miami Beach, FL 33169
Phone (305) 548-8530

16401 NW 2nd Ave
Ste 101
North Miami Beach, FL 33169
Phone (305) 948-5333

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1962436220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16401 NW 2ND AVE STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331696036",
            "telephone_number": "305-948-5333",
            "fax_number": "305-948-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16401 NW 2ND AVE STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331696036",
            "telephone_number": "305-948-5333",
            "fax_number": "305-948-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTMAN",
        "first_name": "SANFORD",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME58495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED PIN",
            "identifier": "219509",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL PIN",
            "identifier": "18527",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.