Individual provider Active NPI

Fady D Zeidan, M.D.

  • Orthopaedic Surgery Physician
  • Spring Hill, FL
National Provider Identifier
1235355397
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME0062904 Issued in FL
Practice address
10441 Quality Dr
Suite 202
Spring Hill, FL 34609-9656
Phone
(352) 686-6114
Fax
(352) 686-0796
NPI assigned
Apr 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME0062904 FL Primary

Addresses

Primary practice location

10441 Quality Dr
Suite 202
Spring Hill, FL 34609-9656

Mailing address

10441 Quality Dr
Suite 202
Spring Hill, FL 34609-9656
Phone (352) 686-6114

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
I20101108000127 FL Practitioner - Orthopedic Surgery 0244390375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0062904FLMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Suncoast Orthopaedics & Sports Medicine Center Orthopaedic Surgery CurrentSince May 1, 1999 Accepting new patients

Locations

10441 Quality Dr
Ste 202
Spring Hill, FL 34609
Phone (352) 686-6114

Interoperability endpoints

  • Direct secure messaging: fzeidan296362@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1235355397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10441 QUALITY DR",
            "address_2": "SUITE 202",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346099656",
            "telephone_number": "352-686-6114",
            "fax_number": "352-686-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10441 QUALITY DR",
            "address_2": "SUITE 202",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346099656",
            "telephone_number": "352-686-6114",
            "fax_number": "352-686-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEIDAN",
        "first_name": "FADY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME0062904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.