Individual provider Active NPI

Simin Salehi

  • Family Medicine Physician
  • Deltona, FL
National Provider Identifier
1306941299
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME63379 Issued in FL
Practice address
1565 Saxon Blvd Ste 103
Deltona, FL 32725-5823
Phone
(386) 574-1423
Fax
(321) 684-5212
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME63379 FL Primary

Addresses

Primary practice location

1565 Saxon Blvd Ste 103
Deltona, FL 32725-5823

Mailing address

1373 Tadsworth Ter
Heathrow, FL 32746-5333
Phone (407) 314-1538

Other identifiers 3

IdentifierTypeStateIssuer
375087601MedicaidFL
375087602MedicaidFL
375087600MedicaidFL

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
I20040301000908 FL Practitioner - Family Practice 6709773179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Florida Primary Physicians LLCGroup PAC ID 0840377610, 3 clinicians

Practice addresses (Care Compare)

1565 Saxon Blvd
Suite 103
Deltona, FL 32725-5823
Phone (386) 574-1423

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME63379FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Primary Physicians Family Medicine CurrentSince Mar 24, 2024 Accepting new patients
Central Florida Primary Physicians LLC Family Medicine CurrentSince Mar 24, 2024 Accepting new patients
Idelis Fedeslinda Arias de la Torre Family Medicine PastSince Jun 1, 2021 Accepting new patients
Orlando Family Physicians, LLC PastSince Jan 5, 2025 Accepting new patients

Locations

1565 Saxon Blvd
Ste 103
Deltona, FL 32725
Phone (386) 574-1423

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1306941299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1373 TADSWORTH TER",
            "city": "HEATHROW",
            "state": "FL",
            "postal_code": "327465333",
            "telephone_number": "407-314-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 SAXON BLVD STE 103",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327255823",
            "telephone_number": "386-574-1423",
            "fax_number": "321-684-5212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEHI",
        "first_name": "SIMIN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME63379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375087601",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375087602",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375087600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deltona, FL

Sources for this page

Verify at the official NPI Registry.