Organization Active NPI

Sarah Siddiqui DO LLC

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1194546564
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SARAH SIDDIQUI DO LLC
Doing business as
Sarah Siddiqui DO LLC
Practice address
9161 Narcoossee Rd Ste 209
Orlando, FL 32827-5764
Phone
(321) 300-2918
Fax
(407) 798-8072
NPI assigned
Oct 18, 2024
Last updated
Oct 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Authorized official

Name
Sarah Fatima Siddiqui, DONPI 1225379407
Title
Owner/Ceo
Phone
(321) 300-2918

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

9161 Narcoossee Rd Ste 209
Orlando, FL 32827-5764

Mailing address

9161 Narcoossee Rd Ste 209
Orlando, FL 32827-5764
Phone (321) 300-2918

Other names 1

  • Sarah Siddiqui DO LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241112001770 FL Part B Supplier - Clinic/Group Practice 9133653298 Receives reassigned benefits from 1 practitioner
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Locations

9161 Narcoossee Rd
Ste 209
Orlando, FL 32827
Phone (321) 300-2918

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1194546564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9161 NARCOOSSEE RD STE 209",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328275764",
            "telephone_number": "321-300-2918",
            "fax_number": "407-798-8072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9161 NARCOOSSEE RD STE 209",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328275764",
            "telephone_number": "321-300-2918",
            "fax_number": "407-798-8072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAH SIDDIQUI DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "FATIMA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "321-300-2918",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sarah Siddiqui DO LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.