Individual provider Active NPI

Fahim A. Siddiqui, AA-C

  • Anesthesiologist Assistant
  • Miramar, FL
National Provider Identifier
1316276959
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
AA50 Issued in FL
Practice address
1901 SW 172ND Ave
Miramar, FL 33029-5592
Phone
(954) 538-5000
NPI assigned
Dec 10, 2009
Last updated
Dec 10, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X AA50 FL Primary

Addresses

Primary practice location

1901 SW 172ND Ave
Miramar, FL 33029-5592

Mailing address

1613 Harrison Pkwy
Suite 200
Sunrise, FL 33323-2896
Phone (800) 437-2672

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100301000872 FL Practitioner - Anesthesiology Assistant 5496890543 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miami Anesthesia Services LLCGroup PAC ID 1355651837, 168 clinicians

Practice addresses (Care Compare)

306 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-5527
Phone (954) 458-1689

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC CurrentSince Mar 1, 2025 Accepting new patients
Anesthesia Physician Solutions of South Florida, LLC CurrentSince Oct 13, 2014 Accepting new patients
Sheridan Healthcorp Inc CurrentSince Feb 1, 2010 Accepting new patients
Nova Medical Services - Anesthesiology Division LLC CurrentSince Mar 4, 2025 Accepting new patients
Hialeah Anesthesia Specialists LLC CurrentSince Jul 1, 2020 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Apr 9, 2025 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Apr 9, 2025 Accepting new patients
Anesthesia Physician Solutions of South Florida, LLC CurrentSince Oct 13, 2014 Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Feb 1, 2010 Accepting new patients
Sheridan Healthcorp Inc Current Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiologist Assistant Current Accepting new patients
Boca Anesthesia Service Inc CurrentSince Sep 15, 2010 Accepting new patients
Boca Anesthesia Service Inc Current Accepting new patients
Miami Anesthesia Services LLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

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

306 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 458-1689

651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370

651 E 25th St
Ste 205
Hialeah, FL 33013

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

4485 N State Road 7
Lauderdale Lakes, FL 33319
Phone (954) 720-3188

13837 Circa Crossing Dr
Ste 100
Lithia, FL 33547
Phone (352) 256-2855

11420 N Kendall Dr
Ste 206
Miami, FL 33176
Phone (786) 715-9183

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

5959 NW 7th St
Miami, FL 33126
Phone (305) 264-1000

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

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

10521 SW Village Center Dr
Ste 104
Port St Lucie, FL 34987
Phone (772) 345-8600

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-0793

2441 Oak Myrtle Ln
Wesley Chapel, FL 33544
Phone (813) 563-1144

8260 W Flagler St
Ste 1A
West Miami, FL 33144
Phone (305) 220-4425

Organizations & group practices 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260403200000",
    "number": "1316276959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 HARRISON PKWY",
            "address_2": "SUITE 200",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232896",
            "telephone_number": "800-437-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 SW 172ND AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295592",
            "telephone_number": "954-538-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "FAHIM",
        "middle_name": "A.",
        "credential": "AA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-10",
        "last_updated": "2009-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "FL",
            "license": "AA50",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.