Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Kody Dylan Sacks-Moynihan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508494501

Mr. Kody Dylan Sacks-Moynihan is an Emergency Medicine in Aventura, Florida. Graduated from University of Hawaii John A. Burns School of Medicine in 2020, 6 years ago. Practices with Cep America - California, a 1,267-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Trained at
University of Hawaii John A. Burns School of Medicine
Licensed in
CA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

20900 Biscayne Blvd
Aventura, FL 33180-1495
Phone: (305) 682-2483
Fax: (305) 682-5250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence A183930 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1508494501
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 27, 2020
Last updated in NPPESJune 15, 2023
Certification dateJune 15, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Cep America - California — 1267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Aventura