Individual provider Active NPI

Munira Dabir Siddiqui, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Safety Harbor, FL
National Provider Identifier
1033317250
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME108340 Issued in FL
Practice address
1840 Mease Dr
Suite 104
Safety Harbor, FL 34695-6602
Phone
(727) 725-6283
Fax
(813) 635-2186
NPI assigned
Jul 10, 2007
Last updated
Feb 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME108340 FL Primary

Addresses

Primary practice location

1840 Mease Dr
Suite 104
Safety Harbor, FL 34695-6602

Mailing address

1840 Mease Dr Ste 104
Safety Harbor, FL 34695-6603
Phone (727) 725-6283

Other identifiers 2

IdentifierTypeStateIssuer
P01061452OtherFLMEDICARE RAILROAD PROVIDER NUMBER
003145000MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MuniraD.Siddiqui@direct.mybaycare.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110308000881 FL Practitioner - EndocrinologyPractitioner - Internal Medicine 2365534344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians

Practice addresses (Care Compare)

1840 Mease Dr
Suite 104
Safety Harbor, FL 34695-6603
Phone (727) 725-6283

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. Endocrinology, Diabetes & Metabolism CurrentSince Feb 2, 2015 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Feb 2, 2015 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Sobel Medical Associates, LTD Endocrinology, Diabetes & Metabolism Past Accepting new patients

Locations

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

303 Pinellas St
Ste 230
Clearwater, FL 33756
Phone (727) 442-4188

1840 Mease Dr
Ste 104
Safety Harbor, FL 34695
Phone (727) 216-8025

Interoperability endpoints

  • Direct secure messaging: munirad.siddiqui@direct.mybaycare.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1033317250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 MEASE DR STE 104",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346956603",
            "telephone_number": "727-725-6283",
            "fax_number": "813-635-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 MEASE DR",
            "address_2": "SUITE 104",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346956602",
            "telephone_number": "727-725-6283",
            "fax_number": "813-635-2186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "MUNIRA",
        "middle_name": "DABIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME108340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PROVIDER NUMBER",
            "identifier": "P01061452",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003145000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MuniraD.Siddiqui@direct.mybaycare.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1840 Mease Dr",
            "address_2": "Suite 104",
            "city": "Safety Harbor",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346956602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Safety Harbor, FL

Sources for this page

Verify at the official NPI Registry.