Obaydah Ahmad Abdurraqeeb, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS17282 Issued in FL

Practice address

9800 W Commercial Blvd
Tamarac, FL 33351-4325

Phone

(954) 475-5500

Fax

(954) 625-8771

NPI assigned

Jul 10, 2008

Sex

Female

Sole proprietor

No

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.

• Memphis Urgent Care #2, LLC.

  • Urgent Care Clinic/Center
  • Memphis, TN
  • NPI 1912565326

  Family Medicine

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: obaydah.abdurraqeeb.1@28804.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 27, 2024.

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1316101264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 W COMMERCIAL BLVD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333514325",
            "telephone_number": "954-475-5500",
            "fax_number": "954-625-8771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 W COMMERCIAL BLVD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333514325",
            "telephone_number": "954-475-5500",
            "fax_number": "954-625-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDURRAQEEB",
        "first_name": "OBAYDAH",
        "middle_name": "AHMAD",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS17282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "OS17282",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A to Z Medical Equipment LLC
• A Touch of Grace Nma, Inc
• A- Plus Medical and Rehab Center Inc
• Aa JH Ms Corp.
• Aaa Urgent Care LLC
• Elizabeth Abend-Meyers
• Above All Recovery Center, LLC
• Achu Joseph Abraham, PTA
• Ran Abrahamy, MD
• Andino Abril, MD

• All providers in Tamarac, FL
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.