Individual provider Active NPI

Rizwana Fareeduddin, MD

  • Maternal & Fetal Medicine Physician
  • Orlando, FL
National Provider Identifier
1063557940
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
ME118539 Issued in FL
Practice address
2415 N Orange Ave
Orlando, FL 32804-5505
Phone
(407) 622-0560
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME118539 FL
Maternal & Fetal Medicine Physician 207VM0101X ME118539 FL Primary

Addresses

Primary practice location

2415 N Orange Ave
Orlando, FL 32804-5505

Mailing address

2415 N Orange Ave Ste 402
Orlando, FL 32804-5505
Phone (407) 622-0560

Other practice location 1

6440 W Newberry Rd
Suite 410
Gainesville, FL 32605-4381
Phone (352) 224-1840

Other practice location 2

380 Celebration Pl Fl 2
Celebration, FL 34747-4606
Phone (407) 622-0560

Other identifiers 1

IdentifierTypeStateIssuer
ME118539OtherFLFLORIDA MEDICAL LICENSE

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
I20140409001881 FL Practitioner - Obstetrics/Gynecology 6800941774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

755 Rinehart Rd
Suite 100
Lake Mary, FL 32746-4885
Phone (407) 834-3300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME118539FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Oct 10, 2022 Accepting new patients
Florida Hospital Medical Group Inc Obstetrics & Gynecology CurrentSince Oct 10, 2022 Accepting new patients

Locations

661 E Altamonte Dr
Ste 318
Altamonte Springs, FL 32701
Phone (407) 303-5204

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

410 Celebration Pl
Ste 200
Kissimmee, FL 34747
Phone (407) 303-4220

380 Celebration Pl
Fl 2
Kissimmee, FL 34747
Phone (407) 303-4190

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

235 E Princeton St
Ste 120
Orlando, FL 32804
Phone (407) 303-1438

2415 N Orange Ave
Ste 402
Orlando, FL 32804
Phone (407) 303-5815

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: rfareeduddin791395@adventhealth.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1063557940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 N ORANGE AVE STE 402",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328045505",
            "telephone_number": "407-622-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 N ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328045505",
            "telephone_number": "407-622-0560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6440 W Newberry Rd",
            "address_2": "Suite 410",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326054381",
            "country_code": "US",
            "telephone_number": "352-224-1840",
            "fax_number": "352-224-1859",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "380 Celebration Pl Fl 2",
            "address_purpose": "LOCATION",
            "city": "Celebration",
            "state": "FL",
            "postal_code": "347474606",
            "country_code": "US",
            "telephone_number": "407-622-0560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAREEDUDDIN",
        "first_name": "RIZWANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME118539",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "FL",
            "license": "ME118539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL LICENSE",
            "identifier": "ME118539",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.