ALI SANDOUKA
NPI 1275235988
Emergency Medicine in Brandon, FL
About Ali Sandouka NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALI SANDOUKA (NPI 1275235988) is an individual emergency medicine provider in Brandon, Florida, licensed in Florida (OS23618) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, is affiliated with Henrico Doctors' Hospital, and is a graduate of Lake Erie College Of Osteopathic Medicine, Bradenton (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ali Sandouka is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Ali Sandouka reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Winter Haven, FL 33881
- Reassigned Medicare billing, Florida enrollment
- 1,065 clinicians in this Medicare group
Aventura, FL 33180
- Reassigned Medicare billing, Florida enrollment
- 1,912 clinicians in this Medicare group
Newport, TN 37821
- Reassigned Medicare billing, Virginia enrollment
- 679 clinicians in this Medicare group
Durham, NC 27704
- Reassigned Medicare billing, Virginia enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Henrico Doctors' Hospital
Acute Care Hospitals · Richmond, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33511 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRANDON, FL 33511
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 Ali Sandouka's NPI number?
The NPI number for Ali Sandouka is 1275235988. It was assigned to this individual provider in the NPPES registry on March 20, 2023.
Where is Ali Sandouka located?
Ali Sandouka practices at 119 Oakfield Dr, Brandon, FL 33511. The listed phone number is (813) 916-2357.
What is Ali Sandouka's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Ali Sandouka enrolled in Medicare?
Yes. Ali Sandouka is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Ali Sandouka's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ali Sandouka reassigns Medicare benefits to 4 organizations: Paragon Emergency Services LLC (Winter Haven, FL), Emergency Medicine Services Of Fl, LLC (Aventura, FL), Emergency Coverage, LLC (Newport, TN) and Duke University Health System, Inc. (Durham, NC). Each 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 Ali Sandouka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ali Sandouka accept?
Health plans from Oscar Health Maintenance Organization of Florida list Ali Sandouka as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Ali Sandouka affiliated with any hospitals?
According to CMS data, Ali Sandouka is affiliated with Henrico Doctors' Hospital.
When was this NPI record last updated?
The NPPES record for Ali Sandouka was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.
# Ali Sandouka · NPI 1275235988
Emergency Medicine physician in Brandon, Florida. Individual provider, active in the CMS NPPES registry since March 20, 2023.
## Identity
- **NPI:** 1275235988 (Entity type: Individual)
- **Enumerated:** March 20, 2023
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** OS23618 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 119 OAKFIELD DR, Brandon, FL 33511-5779
- **Phone:** (813) 916-2357
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Paragon Emergency Services LLC (NPI 1912101650, Winter Haven, FL); Emergency Medicine Services Of Fl, LLC (NPI 1043917180, Aventura, FL); Emergency Coverage, LLC (NPI 1427005008, Newport, TN); Duke University Health System, Inc. (NPI 1376574798, Durham, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Lake Erie College Of Osteopathic Medicine, Bradenton, class of 2023
## Record status
- **NPPES last updated:** September 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1275235988) · Data from the CMS NPPES public registry.