DR. MICHAEL DAVID SANDAK MD
NPI 1821784265
Student in an Organized Health Care Education/Training Program in Southaven, MS

Q: What is Michael Sandak's NPI number?

The NPI number for Michael Sandak is 1821784265. It was assigned to this individual provider in the NPPES registry on April 17, 2023.

Q: What is Michael Sandak's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Sandak was last updated on June 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 17, 2023PECOS Enrolled

7601 SOUTHCREST PKWY, SOUTHAVEN, MS 38671(662) 772-3607 Get Directions Write a Review

NPPES record last updated: June 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Michael David Sandak Md NPPES

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

DR. MICHAEL DAVID SANDAK MD (NPI 1821784265) is an individual student in an organized health care education/training program in Southaven, Mississippi and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821784265

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. MICHAEL DAVID SANDAKCredential: MD

Location Address7601 SOUTHCREST PKWYSouthaven, MS 38671-4739

Mailing Address7601 Southcrest PkwySouthaven, MS 38671-4739 · (662) 772-3607

Phone(662) 772-3607

Sole ProprietorYes

Enumeration DateApril 17, 2023

Last NPPES UpdateJune 9, 2023

NPPES CertifiedJune 9, 2023

✔ NPI 1821784265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

7601 SOUTHCREST PKWY, Southaven, MS 38671

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael David Sandak Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MID-SOUTH ANESTHESIA CONSULTANTS, PLLC

Specialist