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CARLOS SANDOVAL MD
NPI 1780625822
Psychiatry & Neurology - Psychiatry in Key Largo, FL

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment
99198 OVERSEAS HWY STE 5, KEY LARGO, FL 33037(305) 434-7660(305) 451-8019 Get Directions Write a Review

NPPES record last updated: September 27, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carlos Sandoval Md NPPES

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

CARLOS SANDOVAL MD (NPI 1780625822) is an individual psychiatry provider in Key Largo, Florida, licensed in Florida (ME67821) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Miami Shores, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1780625822
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameCARLOS SANDOVALCredential: MD
Location Address99198 OVERSEAS HWY STE 5Key Largo, FL 33037-2437
Mailing Address1000 Nw North River Dr, # 110Miami, FL 33136-2900 · (305) 926-7782
Phone(305) 434-7660
Fax(305) 451-8019
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateJune 9, 2006
Last NPPES UpdateSeptember 27, 2018
✔ NPI 1780625822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in FL · ME67821
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
99198 OVERSEAS HWY STE 5, Key Largo, FL 33037
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Secondary Practice Location 1

Location 1585 NE 92nd StMiami Shores, FL 33138-3162 · Phone (305) 926-7782

Other Identifiers 1

Medicaid378161500FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Carlos Sandoval Md 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.

PECOS PAC ID2668494329
PECOS Enrollment IDI20051221000735
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Carlos Sandoval reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

West Miami Cmhc Inc
48 mi
Community/Behavioral Health
7915 NW 2ND ST
Miami, FL 33126
  • Reassigned Medicare billing, Florida enrollment
  • 10 clinicians in this Medicare group
NPI 1588765226 (305) 262-0999
Guidance/Care Center, Inc.
48 mi
Community/Behavioral Health
3000 41ST STREET OCEAN
Marathon, FL 33050
  • Reassigned Medicare billing, Florida enrollment
  • 22 clinicians in this Medicare group
NPI 1184627739 (305) 434-7660

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
227 services61 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
78 services21 patients
Telehealth originating site facility fee Q3014
The Telehealth originating site facility fee is a charge for the location where you receive your telehealth service, such as a clinic or hospital. It covers costs like equipment use, technical support, and other resources needed to provide a secure, effective telehealth visit.
34 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33037 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.05 typical visit price
range $60.92 – $187.05
Typical copayment $46.76 (range $15.23 – $46.76)
Most-billed visit code 99205
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MILDRED DOMINGUEZ
Counselor (Mental Health)
99198 OVERSEAS HWY STE 5
KEY LARGO, FL 33037
Monroe County (305) 902-7534
DENISE K COSTA B.S.
Case Manager/Care Coordinator
99198 OVERSEAS HWY STE 5
KEY LARGO, FL 33037
Monroe County (305) 451-8018
SANDRA RAUTIO R.N.
Registered Nurse
99198 OVERSEAS HWY STE 5
KEY LARGO, FL 33037
Monroe County (305) 434-7660
KATHERINE LANZILLO LMHC
Counselor (Mental Health)
99198 OVERSEAS HWY STE 5
KEY LARGO, FL 33037
Monroe County (305) 434-7660
MRS. NATALIE TAYLOR
Counselor
99198 OVERSEAS HWY STE 5
KEY LARGO, FL 33037
Monroe County (305) 434-7660
BRIGETTE VILLAVERDE
Case Manager/Care Coordinator
99198 OVERSEAS HWY STE 5
KEY LARGO, FL 33037
Monroe County (305) 434-7660
BRITTANY EVANS LMHC
Counselor (Mental Health)
99198 OVERSEAS HWY STE 5
KEY LARGO, FL 33037
Monroe County (305) 434-7660

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 Carlos Sandoval's NPI number?

The NPI number for Carlos Sandoval is 1780625822. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Carlos Sandoval located?

Carlos Sandoval practices at 99198 Overseas Hwy Ste 5, Key Largo, FL 33037. The listed phone number is (305) 434-7660.

What is Carlos Sandoval's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Carlos Sandoval enrolled in Medicare?

Yes. Carlos Sandoval 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 Carlos Sandoval's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Sandoval reassigns Medicare benefits to 2 organizations: West Miami Cmhc Inc (Miami, FL) and Guidance/Care Center, Inc. (Marathon, FL). 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 Carlos Sandoval's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carlos Sandoval accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and Cigna HealthCare of Florida, Inc. and 2 other insurers list Carlos Sandoval 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.

When was this NPI record last updated?

The NPPES record for Carlos Sandoval was last updated on September 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.