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O SAMBANDAM MD PA
NPI 1790091692
Internal Medicine - Cardiovascular Disease in Port Charlotte, FL

Active since August 30, 2010
2400 HARBOR BLVD, SUITE 8, PORT CHARLOTTE, FL 33952(941) 627-0323(941) 627-3853 Get Directions Write a Review

NPPES record last updated: August 30, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About O Sambandam Md Pa NPPES

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

O SAMBANDAM MD PA (NPI 1790091692) is a healthcare organization registered as a cardiovascular disease in Port Charlotte, Florida and active in the NPI registry since August 2010. The organization lists O Sambandam, Owner, as its authorized official.

NPPES Registry Identity

NPI1790091692
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameO SAMBANDAM MD PA
Location Address2400 HARBOR BLVD, SUITE 8Port Charlotte, FL 33952-5052
Mailing Address2400 Harbor Blvd, Suite 8Port Charlotte, FL 33952-5052 · (941) 627-0323 · Fax (941) 627-3853
Phone(941) 627-0323
Fax(941) 627-3853
Organization SubpartNo
Authorized OfficialO SambandamOwner · (941) 627-0323
Enumeration DateAugust 30, 2010
✔ NPI 1790091692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in FL · ME33947
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
2400 HARBOR BLVD, Port Charlotte, FL 33952
Open in Google Maps ↗

Other Identifiers 1

MedicaidO39846200FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

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

Clinician (1)

Odaiyappa Sambandam, M.D., FACC FCCP
Cardiovascular Disease (Cardiology)
NPI 1184605404
2400 HARBOR BLVD SUITE 8
Port Charlotte, FL 33952
(941) 627-0323
✔ 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 O Sambandam MD PA's NPI number?

The NPI number for O Sambandam MD PA is 1790091692. It was assigned to this organization in the NPPES registry on August 30, 2010.

Where is O Sambandam MD PA located?

O Sambandam MD PA is located at 2400 Harbor Blvd Suite 8, Port Charlotte, FL 33952. The listed phone number is (941) 627-0323.

What is O Sambandam MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is O Sambandam MD PA enrolled in Medicare?

Yes. O Sambandam MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through O Sambandam MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns their Medicare billing to O Sambandam 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 O Sambandam MD PA was last updated on August 30, 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.