Active NPI
Simi Sahibdin
- Physician Assistant
- Winter Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9112520
- Practice address
- 1573 W Fairbanks Ave Ste 210
Winter Park, FL 32789-4679 - Phone
- (407) 646-7845
- Fax
- (407) 646-7846
- NPI assigned
- Jan 18, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 010632 | NY | |
| Physician Assistant | 363A00000X | PA9112520 | FL | Primary |
Addresses
Primary practice location
1573 W Fairbanks Ave Ste 210
Winter Park, FL 32789-4679
Mailing address
2800 Marcus Ave
New Hyde Park, NY 11042-1113
Phone (516) 622-6000
Other practice location 1
2800 Marcus Ave
New Hyde Park, NY 11042-1113
Phone (516) 622-7485
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230922000145 | FL | Practitioner - Physician Assistant | 9638410863 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Bird and Thornton PA
Practice addresses (Care Compare)
557 N Wymore Rd
Suite 202
Maitland, FL 32751-4200
Phone (407) 855-1073
Hospital & facility affiliations
- Adventhealth Orlando
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010632 | NY | MD | Registered Dietitian |
| PA9112520 | FL | MD | Physician Assistant |
Practice roles (3 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Physician Assistant | Current | Accepting new patients |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Optum Urgent Care, PLLC | Past | Accepting new patients |
Locations
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
1573 W Fairbanks Ave
Ste 210
Winter Park, FL 32789
Phone (407) 303-6729
Networks
- Optimum HealthCare HMO Network
- 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.
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
FL, Physician Assistant
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
- Urgent Care Clinic/Center
- Jericho, NY
- NPI 1285975797
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
Hospital
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696809600000",
"number": "1336685155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 MARCUS AVE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421113",
"telephone_number": "516-622-6000",
"fax_number": "516-622-2914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1573 W FAIRBANKS AVE STE 210",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327894679",
"telephone_number": "407-646-7845",
"fax_number": "407-646-7846"
}
],
"practiceLocations": [
{
"address_1": "2800 Marcus Ave",
"address_purpose": "LOCATION",
"city": "New Hyde Park",
"state": "NY",
"postal_code": "110421113",
"country_code": "US",
"telephone_number": "516-622-7485",
"fax_number": "516-622-2914",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAHIBDIN",
"first_name": "SIMI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-18",
"last_updated": "2023-10-09",
"certification_date": "2023-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "010632",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9112520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.