Organization Active NPI

Abdul Nadeem MD LLC

  • Psychiatry Physician
  • Sarasota, FL
National Provider Identifier
1346558871
Registry record updated Sep 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME79513 Issued in FL
Legal business name
ABDUL NADEEM MD LLC
Practice address
1625 S Osprey Ave
Sarasota, FL 34239-2929
Phone
(941) 917-1463
Fax
(941) 917-7543
NPI assigned
Sep 17, 2010
Last updated
Sep 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2010

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

Authorized official

Name
Abdul Nadeem, MDNPI 1912993072
Title
MD/Owner
Phone
(941) 917-1463

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME79513 FL Primary

Addresses

Primary practice location

1625 S Osprey Ave
Sarasota, FL 34239-2929

Mailing address

7015 Gosling Ter
Bradenton, FL 34203-8027
Phone (941) 538-7013

Other identifiers 1

IdentifierTypeStateIssuer
ME79513OtherFLSTATE MEDICAL LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101112000632 FL Part B Supplier - Clinic/Group Practice 0143415380 Receives reassigned benefits from 1 practitioner
Practice locations: Sarasota, FL

National Provider Directory

National Provider Directory

Locations

1219 S East Ave
Ste 102
Sarasota, FL 34239
Phone (941) 350-1808

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284681600000",
    "number": "1346558871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7015 GOSLING TER",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342038027",
            "telephone_number": "941-538-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 S OSPREY AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392929",
            "telephone_number": "941-917-1463",
            "fax_number": "941-917-7543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABDUL NADEEM MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-17",
        "last_updated": "2010-09-17",
        "status": "A",
        "authorized_official_last_name": "NADEEM",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "941-917-1463",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME79513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "ME79513",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.