Individual provider Active NPI

Navaid Siddiqi, M.D.

  • Internal Medicine Physician
  • Orlando, FL
National Provider Identifier
1124108956
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME94027 Issued in FL
Practice address
4882 Quality TRL
Orlando, FL 32829-8203
Phone
(407) 440-3004
Fax
(407) 429-3899
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME94027 FL Primary

Addresses

Primary practice location

4882 Quality TRL
Orlando, FL 32829-8203

Mailing address

PO Box 677879
Orlando, FL 32867-7879
Phone (407) 440-3004

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
I20051123000184 FL Practitioner - Internal Medicine 5294762688 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Medicine Associates Imac PLGroup PAC ID 6406955814, 11 clinicians

Practice addresses (Care Compare)

7727 Lake Underhill Rd
Orlando, FL 32822-8224
Phone (407) 440-3004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME94027FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Medicine Associates Imac PL Internal Medicine CurrentSince Apr 1, 2007 Accepting new patients
Neil Coskun, MD,PA Internal Medicine Past Accepting new patients

Locations

7727 Lk Under Hl
Orlando, FL 32822
Phone (407) 303-6413

Organizations & group practices 3

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1124108956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 677879",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328677879",
            "telephone_number": "407-440-3004",
            "fax_number": "407-429-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4882 QUALITY TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328298203",
            "telephone_number": "407-440-3004",
            "fax_number": "407-429-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQI",
        "first_name": "NAVAID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME94027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.