Individual provider Active NPI

Farhan Siddiqui, M.D.

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1033537865
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME164165 Issued in FL
Practice address
8702 Hunters Lake Dr Ste 100
Tampa, FL 33647-2855
Phone
(813) 467-4700
NPI assigned
Mar 29, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 305899 LA
Family Medicine Physician 207Q00000X ME164165 FL Primary

Addresses

Primary practice location

8702 Hunters Lake Dr Ste 100
Tampa, FL 33647-2855

Mailing address

8702 Hunters Lake Dr Ste 100
Tampa, FL 33647-2855
Phone (813) 467-4700

Other practice location 1

15813 Paul Vega Md Dr Ste 201
Hammond, LA 70403-1431
Phone (985) 230-7440

Other practice location 2

230 Masonic Drive
Independence, LA 70443
Phone (985) 878-4174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170724001455 LA Practitioner - Family Practice 3870892383 Reassigns benefits to 2 organizations
I20231006001877 FL Practitioner - Family Practice 3870892383 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventhealth Primary Care Network IncGroup PAC ID 1557722410, 428 clinicians

Practice addresses (Care Compare)

661 E Altamonte Dr
Suite 115
Altamonte Springs, FL 32701-5102
Phone (407) 831-4040

8702 Hunters Lake Dr
Suite 100
Tampa, FL 33647-2855
Phone (813) 467-4700

Hospital & facility affiliations

  • Adventhealth Tampa Hospital, Tampa, FL, CCN 100173
  • Adventhealth Wesley Chapel Hospital, Wesley Chapel, FL, CCN 100319

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME164165FLMDFamily Medicine Physician
305899LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Service District 2 of the Parish of Tangipahoa State of la. CurrentSince Apr 25, 2019 Accepting new patients
Adventhealth Primary Care Network Inc Family Medicine CurrentSince Nov 1, 2023 Accepting new patients
North Oaks Physician Group, LLC CurrentSince Aug 6, 2017 Accepting new patients
Hospital Service District 2 of the Parish of Tangipahoa State of la. CurrentSince Apr 25, 2019 Accepting new patients
Florida Hospital Physician Group Inc Family Medicine CurrentSince Nov 13, 2023 Accepting new patients
North Oaks Medical Center, LLC CurrentSince Jun 4, 2022 Accepting new patients
Hospital Service District #1 of Tangipahoa Past Accepting new patients

Locations

661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

8702 Hunters Lake Dr
Ste 100
Tampa, FL 33647
Phone (813) 467-4700

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

409 NW Central Ave
Amite, LA 70422
Phone (985) 748-7141

301 Walnut St
Amite, LA 70422
Phone (985) 748-7141

15813 Paul Vega Md Dr
Ste 200
Hammond, LA 70403
Phone (985) 230-7650

15813 Paul Vega Md Dr
Ste 201
Hammond, LA 70403
Phone (985) 230-1580

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

15813 Paul Vega Md Dr
Ste 402
Hammond, LA 70403
Phone (985) 230-7350

Interoperability endpoints

  • Direct secure messaging: fsiddiqui1165811@adventhealth.direct-ci.com

Organizations & group practices 7

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

Hospital & facility affiliations 3

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": "1396051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1033537865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8702 HUNTERS LAKE DR STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472855",
            "telephone_number": "813-467-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8702 HUNTERS LAKE DR STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472855",
            "telephone_number": "813-467-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15813 Paul Vega Md Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704031431",
            "country_code": "US",
            "telephone_number": "985-230-7440",
            "fax_number": "985-230-7441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 Masonic Drive",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "LA",
            "postal_code": "70443",
            "country_code": "US",
            "telephone_number": "985-878-4174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "FARHAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-29",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "305899",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME164165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.