SANDEEP JAIN MD PA
NPI 1033358262
Internal Medicine - Pulmonary Disease in Plantation, FL

Active since February 11, 2009
300 NW 70TH AVE STE 107, PLANTATION, FL 33317(954) 530-0848(954) 791-5305 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sandeep Jain Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDEEP JAIN MD PA (NPI 1033358262) is a healthcare organization registered as a pulmonary disease in Plantation, Florida and active in the NPI registry since February 2009. The organization maintains a secondary practice location in Fort Lauderdale and lists Sandeep Jain, President/owner, as its authorized official.

NPPES Registry Identity

NPI1033358262
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameSANDEEP JAIN MD PA
Location Address300 NW 70TH AVE STE 107Plantation, FL 33317-2360
Mailing Address300 Nw 70th Ave Ste 107Plantation, FL 33317-2360 · (954) 530-0848 · Fax (954) 791-5305
Fax(954) 791-5305
Organization SubpartNo
Authorized OfficialSandeep JainPresident/owner · (954) 530-0848
Enumeration DateFebruary 11, 2009
Last NPPES UpdateAugust 27, 2026
NPPES CertifiedAugust 27, 2026
✔ NPI 1033358262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in FL · ME65687
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X
300 NW 70TH AVE STE 107, Plantation, FL 33317

Secondary Practice Location 1

Location 1255 SE 14th St Ste 1BFort Lauderdale, FL 33316-1852 · Phone (954) 530-0848 · Fax (954) 791-5305

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandeep Jain Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20100114000734Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sandeep Jain MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Pulmonary Disease
NPI 1619945359
300 NW 70TH AVE STE 107
Plantation, FL 33317
(954) 530-0848
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandeep Jain MD PA's NPI number?

The NPI number for Sandeep Jain MD PA is 1033358262. It was assigned to this organization in the NPPES registry on February 11, 2009.

Where is Sandeep Jain MD PA located?

Sandeep Jain MD PA is located at 300 NW 70th Ave Ste 107, Plantation, FL 33317. The listed phone number is (954) 530-0848.

What is Sandeep Jain MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Sandeep Jain MD PA enrolled in Medicare?

Yes. Sandeep Jain MD PA is registered in the Medicare PECOS enrollment system.

When is Sandeep Jain MD PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Sandeep Jain MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pulmonary Disease) reassigns their Medicare billing to Sandeep Jain MD PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sandeep Jain MD PA was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.