Organization Active NPI

Sukhvinder K Gulati MD PA

  • Internal Medicine Physician
  • Davie, FL
National Provider Identifier
1982615076
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME75626 Issued in FL
Legal business name
SUKHVINDER K GULATI MD PA
Practice address
3105 N University Dr
Davie, FL 33024-2234
Phone
(954) 438-6080
Fax
(954) 499-5599
NPI assigned
Aug 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Authorized official

Name
Sukhvinder K Gulati, MDNPI 1184635278
Title
Owner
Phone
(954) 438-6080

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME75626 FL Primary

Addresses

Primary practice location

3105 N University Dr
Davie, FL 33024-2234

Mailing address

10726 Charleston Place
Cooper City, FL 33026
Phone (954) 438-6080

Other identifiers 1

IdentifierTypeStateIssuer
254733300MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110207000593 FL Part B Supplier - Clinic/Group Practice 0042490138 Receives reassigned benefits from 1 practitioner
Practice locations: Hollywood, FL; Pembroke Pines, 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
10D1002174Sukhvinder K Gulati MD3105 N University Dr, Davie, FL 33024Certificate of waiverSep 13, 2027

National Provider Directory

National Provider Directory

Locations

3105 N University Dr
Hollywood, FL 33024
Phone (954) 438-6080

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": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1982615076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10726 CHARLESTON PLACE",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "33026",
            "telephone_number": "954-438-6080",
            "fax_number": "954-499-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 N UNIVERSITY DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "330242234",
            "telephone_number": "954-438-6080",
            "fax_number": "954-499-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUKHVINDER K GULATI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "GULATI",
        "authorized_official_first_name": "SUKHVINDER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-438-6080",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME75626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254733300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; 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.