Organization Active NPI

Ishpaul Medical, Inc.

  • Health Service Clinic/Center
  • Sarasota, FL
National Provider Identifier
1972772937
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
MR0071115 Issued in FL
Legal business name
ISHPAUL MEDICAL, INC.
Practice address
5250 17TH St
Suite 7
Sarasota, FL 34235-8242
Phone
(941) 378-3843
Fax
(941) 378-7864
NPI assigned
Feb 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
Dr. Davinder Singh Bhamber, M.D.NPI 1578642880
Title
Owner
Phone
(941) 378-3843

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X MR0071115 FL Primary

Addresses

Primary practice location

5250 17TH St
Suite 7
Sarasota, FL 34235-8242

Mailing address

5250 17TH St
Suite 7
Sarasota, FL 34235-8242
Phone (941) 378-3843

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120224000420 FL Part B Supplier - Clinic/Group Practice 3870751647 Receives reassigned benefits from 1 practitioner
Practice locations: Bradenton, FL; Sarasota, FL; Ellenton, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2041827Ishpaul Medical Inc5250 17TH St Ste 7, Sarasota, FL 34235Certificate of waiverMay 29, 2028

National Provider Directory

National Provider Directory

Locations

5250 17th St
Ste 7
Sarasota, FL 34235
Phone (941) 378-3843

5250 17th St
#7
Sarasota, FL 34235
Phone (941) 278-3843

5250 17th St
Unit 107
Sarasota, FL 34235

5250 17th St
Unit 7
Sarasota, FL 34235

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1972772937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 17TH ST",
            "address_2": "SUITE 7",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342358242",
            "telephone_number": "941-378-3843",
            "fax_number": "941-378-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 17TH ST",
            "address_2": "SUITE 7",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342358242",
            "telephone_number": "941-378-3843",
            "fax_number": "941-378-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISHPAUL MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "BHAMBER",
        "authorized_official_first_name": "DAVINDER",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-378-3843",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "MR0071115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.