DAVID SAKETKOO PSYD PA
NPI 1265470108
Psychologist - Clinical in Fort Lauderdale, FL
About David Saketkoo Psyd Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID SAKETKOO PSYD PA (NPI 1265470108) is a healthcare organization registered as a clinical in Fort Lauderdale, Florida and active in the NPI registry since June 2006. The organization lists David Saketkoo, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
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)
David Saketkoo Psyd Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
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.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to David Saketkoo Psyd PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Fort Lauderdale, FL 33304
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 David Saketkoo Psyd PA's NPI number?
The NPI number for David Saketkoo Psyd PA is 1265470108. It was assigned to this organization in the NPPES registry on June 3, 2006.
Where is David Saketkoo Psyd PA located?
David Saketkoo Psyd PA is located at 1040 Bayview Dr Suite 534, Fort Lauderdale, FL 33304. The listed phone number is (954) 993-7807.
What is David Saketkoo Psyd PA's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is David Saketkoo Psyd PA enrolled in Medicare?
Yes. David Saketkoo Psyd PA is registered in the Medicare PECOS enrollment system.
When is David Saketkoo Psyd 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 January 31, 2027. 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 David Saketkoo Psyd PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to David Saketkoo Psyd 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 David Saketkoo Psyd PA was last updated on October 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.
# David Saketkoo Psyd Pa · NPI 1265470108
Clinical organization in Fort Lauderdale, Florida. Organization record, active in the CMS NPPES registry since June 3, 2006.
## Identity
- **NPI:** 1265470108 (Entity type: Organization)
- **Enumerated:** June 3, 2006
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** David Saketkoo, PRESIDENT
## Practice location
- **Address:** 1040 BAYVIEW DR, SUITE 534, Fort Lauderdale, FL 33304-2522
- **Phone:** (954) 993-7807 · **Fax:** (954) 563-5807
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 20, 2010
- **Other identifiers:** Medicare ID-Type Unspecified K9745 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1265470108) · Data from the CMS NPPES public registry.