Individual ProviderSachin SuleInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address670 Glades Rd Ste 400, Boca Raton, FL 33431-6464(561) 955-2570PECOS EnrollmentBased on the most recent information from CMS, provider Sachin Sule is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1477573038Provider TypeIndividualFull NameSule, SachinCredentialMDGenderMaleSole ProprietorNoEnumeration Date7/19/2006Last Updated7/12/2021Contact InformationPractice LocationPractice Address670 Glades Rd Ste 400, Boca Raton, FL 33431-6464Phone(561) 955-2570FaxUnlisted FaxMailing LocationMailing Address670 Glades Rd Ste 400, Boca Raton, FL 33431-6464Phone(561) 955-2570FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense001885New YorkCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense64462ConnecticutProvider IdentifiersIDDescriptionIssuerIDP3185130DescriptionOtherIssuerOXFORDNew YorkID00000079827DescriptionOtherIssuerGHI HMONew YorkID7516576DescriptionOtherIssuerAETNA PPONew YorkIDHEALTHNETDescriptionOtherIssuer5C5335New YorkID02659401DescriptionMedicaidIssuerUnlistedNew YorkID2589996DescriptionOtherIssuerGHI PPONew YorkID4129332DescriptionOtherIssuerMVPNew YorkID98S131DescriptionOtherIssuerBCBSNew YorkIDP00182434DescriptionOtherIssuerRAILROAD MEDICARENew YorkID1499327DescriptionOtherIssuerAETNA HMONew York