Individual provider Active NPI

Mussarat Siddiqui, M.D.

  • Anesthesiology Physician
  • Oviedo, FL
National Provider Identifier
1265458939
Registry record updated Oct 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME45934 Issued in FL
Practice address
4250 Alafaya TRL Ste 212
Oviedo, FL 32765-9424
Phone
(407) 558-8504
NPI assigned
Jul 14, 2006
Last updated
Oct 31, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME45934 FL Primary

Addresses

Primary practice location

4250 Alafaya TRL Ste 212
Oviedo, FL 32765-9424

Mailing address

4250 Alafaya TRL Ste 212
Oviedo, FL 32765-9424
Phone (407) 558-8504

Other identifiers 2

IdentifierTypeStateIssuer
P00001971OtherFLRAILROAD MEDICARE
47688OtherFLBCBS

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
I20080617000148 FL Practitioner - Anesthesiology 1759478654 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Anesthesia Services, LLCGroup PAC ID 7416119433, 5 clinicians
Mark a Nagrani MD PAGroup PAC ID 4284533290, 4 clinicians
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians

Practice addresses (Care Compare)

1690 Dunlawton Ave
Suite 230
Port Orange, FL 32127-8980
Phone (386) 271-2273

612 Palmetto St
New Smyrna Beach, FL 32168-7327
Phone (386) 423-5500

63 Barkley Cir
Suite 103
Fort Myers, FL 33907-4514
Phone (239) 275-8882

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME45934FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amsurg Port Orange Anesthesia, LLC Anesthesiology CurrentSince Sep 17, 2022 Accepting new patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Dec 2, 2019 Accepting new patients
Osceola Gastroenterology Anesthesia Associates LLC Anesthesiology CurrentSince Mar 1, 2017 Accepting new patients
Amsurg Citrus Anesthesia LLC Anesthesiology CurrentSince Nov 19, 2013 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Aug 15, 2016 Accepting new patients
Mark a Nagrani MD PA CurrentSince Apr 21, 2022 Accepting new patients
Fleming Island Anesthesia LLC Anesthesiology CurrentSince Dec 10, 2023 Accepting new patients
Atlantic Anesthesia Services, LLC Anesthesiology CurrentSince Dec 20, 2016 Accepting new patients
Metro Orlando Anesthesia Associates, LLC Anesthesiology CurrentSince Apr 11, 2023 Accepting new patients
Innovative Medical Staffing Solutions Inc Anesthesiology CurrentSince Jun 13, 2023 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Aug 15, 2016 Accepting new patients
Advanced Gastroenterology Health Care Centers CurrentSince Dec 20, 2016 Accepting new patients
Ahp of Georgia, LLC Anesthesiology PastSince Aug 1, 2004 Accepting new patients
Anesthesia Health Care Partners of Florida Inc Anesthesiology Past Accepting new patients
Memorial Hospital Flagler Inc Past Accepting new patients
Ahp of Central Georgia, PC Anesthesiology Past Accepting new patients

Locations (25 of 29)

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

517 Health Blvd
Daytona Beach, FL 32114
Phone (386) 274-1005

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 322-5600

63 Barkley Cir
Ste 103
Fort Myers, FL 33907
Phone (239) 275-8882

715 Oak Commons Blvd
Kissimmee, FL 34741
Phone (407) 910-3071

905 N John Young Pkwy
Kissimmee, FL 34741
Phone (407) 256-0933

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825

95 Bulldog Blvd
Ste 104
Melbourne, FL 32901
Phone (321) 952-9800

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

130 Tamiami Trl N
Ste 210
Naples, FL 34102
Phone (239) 434-8707

612 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 423-5500

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

100 S Orange Ave
Ste 800
Orlando, FL 32801
Phone (407) 377-0251

2861 Delaney Ave
Ste A
Orlando, FL 32806
Phone (407) 472-5095

2861 Delaney Ave
Ste B
Orlando, FL 32806
Phone (407) 472-5095

4901 Vineland Rd
Ste 150
Orlando, FL 32811
Phone (407) 370-3272

1545 Hand Ave
Ste A1
Ormond Beach, FL 32174
Phone (386) 274-2977

611 Zeagler Dr
Palatka, FL 32177
Phone (386) 326-8070

315 Palm Coast Pkwy NE
Ste 5
Palm Coast, FL 32137
Phone (386) 763-4920

1690 Dunlawton Ave
Ste 120
Port Orange, FL 32127
Phone (386) 481-6674

1690 Dunlawton Ave
Ste 230
Port Orange, FL 32127
Phone (386) 763-4920

3635 Clyde Morris Blvd
Ste 500
Port Orange, FL 32129
Phone (386) 760-8151

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414713600000",
    "number": "1265458939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 ALAFAYA TRL STE 212",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659424",
            "telephone_number": "407-558-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 ALAFAYA TRL STE 212",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659424",
            "telephone_number": "407-558-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "MUSSARAT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2014-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME45934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00001971",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "47688",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

Verify at the official NPI Registry.