Dr Kaivalya Sanjay Deshpande, MD in Miami, FL - Medicare Physical Medicine & Rehabilitation

Dr Kaivalya Sanjay Deshpande, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Miami, Florida. His current practice location is 1611 Nw 12th Ave, Miami, Florida. You can reach out to his office (for appointments etc.) via phone at (305) 243-3654.

Dr Kaivalya Sanjay Deshpande is licensed to practice in Florida (license number ME173920) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1760972186.

Contact Information

	Dr Kaivalya Sanjay Deshpande, MD
	1611 Nw 12th Ave, Miami, FL 33136-1005
	(305) 243-3654
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kaivalya Sanjay Deshpande
Gender	Male
Speciality	Physical Medicine & Rehabilitation
Location	1611 Nw 12th Ave, Miami, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760972186
Provider Enumeration Date: 05/10/2018
Last Update Date: 06/20/2025

Medicare PECOS Information:

PECOS PAC ID: 2163778572
Enrollment ID: I20230731003393

Medical Identifiers

Medical identifiers for Dr Kaivalya Sanjay Deshpande such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760972186	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	A179401 (California)	Secondary
208100000X	Physical Medicine & Rehabilitation	ME173920 (Florida)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kaivalya Sanjay Deshpande allows following entities to bill medicare on his behalf.

Entity Name	Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356444897 PECOS PAC ID: 3577476761 Enrollment ID: O20040109000444

Entity Name	Integrated Rehab Consultants California Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023449741 PECOS PAC ID: 0547499865 Enrollment ID: O20140208000426

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kaivalya Sanjay Deshpande is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Kaivalya Sanjay Deshpande, MD 1611 Nw 12th Ave, Miami, FL 33136-1005 Ph: (305) 243-3654	Dr Kaivalya Sanjay Deshpande, MD 1611 Nw 12th Ave, Miami, FL 33136-1005 Ph: (305) 243-3654

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Miami, FL

Carolina Lizzet Ramirez, Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2525 Sw 75th Ave, Miami, FL 33155 Phone: 305-260-1852
Dr. Kevin Lee Dalal, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1611 Nw 12th Ave, Rehabilitation Basement Floor, Suite 105, Miami, FL 33136 Phone: 305-585-1326 Fax: 305-585-1340
Christopher Alessia, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1611 Nw 12th Ave, Miami, FL 33136 Phone: 305-243-3654
Dr. Sony M Issac, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1611 Nw 12th Ave, Miami, FL 33136 Phone: 305-585-9420 Fax: 305-243-4650
Victor Jean-baptiste, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 22905 Sw 114th Pl, Miami, FL 33170 Phone: 617-359-9016
Melissa Marie Guanche, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 8950 N Kendall Dr Ste 410w, Miami, FL 33176 Phone: 786-596-2225
Dr. Anthony Joseph Dorto, M D Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2627 Ne 203rd St, Suite 116, Miami, FL 33180 Phone: 305-932-4797 Fax: 305-931-4848

Dr Kaivalya Sanjay Deshpande, MD - Medicare Physical Medicine & Rehabilitation in Miami, FL