Individual provider Active NPI

Dina Sidig, MD

  • Family Medicine Physician
  • Sun City Center, FL
National Provider Identifier
1083234736
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME164609 Issued in FL
Practice address
1901 Haverford Ave Ste 101
Sun City Center, FL 33573-5200
Phone
(813) 634-9284
Fax
(813) 634-4595
NPI assigned
Apr 23, 2020
Last updated
Aug 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME164609 FL Primary

Addresses

Primary practice location

1901 Haverford Ave Ste 101
Sun City Center, FL 33573-5200

Mailing address

1901 Haverford Ave Ste 101
Sun City Center, FL 33573-5200
Phone (813) 634-9284

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
I20230919003988 FL Practitioner - Family Practice 1153744917 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optumcare Florida, LLCGroup PAC ID 3072403476, 266 clinicians

Practice addresses (Care Compare)

1291 Bloomingdale Ave
Valrico, FL 33596-6168
Phone (813) 653-1880

2155 SE Federal Hwy
Wellmed at South Stuart
Stuart, FL 34994-4514
Phone (772) 223-9630

415 Apollo Beach Blvd
Apollo Beach, FL 33572-2281
Phone (813) 645-8494

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Management of Florida Inc Family Medicine CurrentSince Sep 11, 2023 Accepting new patients
Optumcare Florida LLC Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
GMS Florida West Coast Inc Family Medicine CurrentSince Sep 5, 2023 Accepting new patients
Optumcare Florida, LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

1989 W Lumsden Rd
Brandon, FL 33511
Phone (813) 653-3111

2940 S US Highway 1
Ste C11
Fort Pierce, FL 34982
Phone (407) 423-5178

1345 West Bay Dr
Ste 202
Largo, FL 33770
Phone (727) 559-0895

2155 SE Federal Hwy
Stuart, FL 34994
Phone (772) 223-9630

1901 Haverford Ave
Ste 101
Sun City Ctr, FL 33573
Phone (813) 634-9284

1291 Bloomingdale Ave
Valrico, FL 33596
Phone (813) 653-1880

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Interoperability endpoints

  • Direct secure messaging: dina.sidig@wellmed.eclinicaldirectplus.com

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 1

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": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1083234736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 HAVERFORD AVE STE 101",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735200",
            "telephone_number": "813-634-9284",
            "fax_number": "813-634-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 HAVERFORD AVE STE 101",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735200",
            "telephone_number": "813-634-9284",
            "fax_number": "813-634-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDIG",
        "first_name": "DINA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-23",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME164609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City Center, FL

Sources for this page

Verify at the official NPI Registry.