Individual provider Active NPI

Alexander Sidawi, DO

  • Psychiatry Physician
  • Orlando, FL
National Provider Identifier
1043873847
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS20037 Issued in FL
Practice address
7450 Dr Phillips Blvd Ste 314
Orlando, FL 32819-5428
Phone
(407) 900-9656
Fax
(407) 589-9251
NPI assigned
Apr 17, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X OS20037 FL Primary

Addresses

Primary practice location

7450 Dr Phillips Blvd Ste 314
Orlando, FL 32819-5428

Mailing address

4922 Watervista Dr
Orlando, FL 32821-5538

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS20037FLMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1043873847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4922 WATERVISTA DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328215538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 DR PHILLIPS BLVD STE 314",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195428",
            "telephone_number": "407-900-9656",
            "fax_number": "407-589-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDAWI",
        "first_name": "ALEXANDER",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-17",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OS20037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.