Individual provider Active NPI

Farhan Naveed Siddiqi, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Odessa, FL
National Provider Identifier
1124055306
Registry record updated Oct 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
ME96330 Issued in FL
Practice address
2040 Short Ave Ste 100
Odessa, FL 33556-3445
Phone
(727) 372-9922
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X D006034 MD
Orthopaedic Surgery of the Spine Physician 207XS0117X ME96330 FL Primary

Addresses

Primary practice location

2040 Short Ave Ste 100
Odessa, FL 33556-3445

Mailing address

2040 Short Ave
Odessa, FL 33556-3427
Phone (727) 372-9922

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
I20070412000383 FL Practitioner - Orthopedic Surgery 9436189222 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
JS Weill Medical College, Cornell University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Farhan Siddiqi MD PAGroup PAC ID 4284936113, 14 clinicians

Practice addresses (Care Compare)

701 N W Shore Blvd
Tampa, FL 33609-1122
Phone (352) 556-2524

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME96330FLMDOrthopaedic Surgery of the Spine Physician
D006034MDMDOrthopaedic Surgery of the Spine Physician

Practice roles (8 of 10)

OrganizationSpecialtyStatusNew patients
Spine and Orthopaedic Specialists, PLLC Orthopaedic Surgery of the Spine CurrentSince Nov 1, 2006 Accepting new patients
Farhan Siddiqi, MD PA Orthopaedic Surgery of the Spine CurrentSince Jan 12, 2010 Accepting new patients
Farhan Siddiqi, MD PA Orthopaedic Surgery of the Spine CurrentSince Mar 15, 2017 Accepting new patients
Farhan Siddiqi, MD PA. Orthopaedic Surgery of the Spine Past Accepting new patients
Farhan Siddiqi, MD PA Orthopaedic Surgery of the Spine Past Accepting new patients
Orthopaedic Associates, PA Past Accepting new patients
Farhan Siddiqi, MD PA Orthopaedic Surgery of the Spine PastSince Nov 1, 2015 Accepting new patients
Orthopaedic Associates, PA Past Accepting new patients

Locations

1801 N Belcher Rd
Ste A
Clearwater, FL 33765
Phone (813) 533-7080

2040 Short Ave
Ste 100
Odessa, FL 33556
Phone (727) 372-9922

2040 Short Ave
Odessa, FL 33556
Phone (727) 372-9922

11319 Cortez Blvd
Spring Hill, FL 34613
Phone (352) 556-2524

701 N West Shore Blvd
Tampa, FL 33609
Phone (352) 340-5935

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: farhansiddiqi@tsce.allscriptsdirect.net
  • Direct secure messaging: farhansiddiqimd@tsc.allscriptsdirect.net

Organizations & group practices 8

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509062400000",
    "number": "1124055306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 SHORT AVE",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335563427",
            "telephone_number": "727-372-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 SHORT AVE STE 100",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335563445",
            "telephone_number": "727-372-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQI",
        "first_name": "FARHAN",
        "middle_name": "NAVEED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2017-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "MD",
            "license": "D006034",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "FL",
            "license": "ME96330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, FL

Sources for this page

Verify at the official NPI Registry.