Individual provider Active NPI

Siddharth Singh Arora, D.O., M.S.

  • Psychiatry Physician
  • West Melbourne, FL
National Provider Identifier
1386910172
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS13734 Issued in FL
Practice address
1541 S Wickham Rd
West Melbourne, FL 32904-3540
Phone
(844) 782-6963
Fax
(888) 729-9942
NPI assigned
Mar 27, 2012
Last updated
Oct 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X OS13734 FL
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 34-011097 OH
Psychiatry Physician 2084P0800X 008845 AZ
Psychiatry Physician 2084P0800X 2539 AL
Psychiatry Physician 2084P0800X C0012 KY
Psychiatry Physician 2084P0800X H86432 MD
Psychiatry Physician 2084P0800X 34-011097 OH
Psychiatry Physician 2084P0800X 110594 NV
Psychiatry Physician 2084P0800X T6510 TX
Psychiatry Physician 2084P0800X 3349 WV
Psychiatry Physician 2084P0800X 0102205271 VA
Psychiatry Physician 2084P0800X OS13734 FL Primary
Pain Medicine Physician 208VP0000X H86432 MD
Pain Medicine Physician 208VP0000X 4202 TN
Interventional Pain Medicine Physician 208VP0014X OS13734 FL

Addresses

Primary practice location

1541 S Wickham Rd
West Melbourne, FL 32904-3540

Mailing address

4017 Williamsburg CT Ste 100
Fairfax, VA 22032-1139
Phone (844) 782-6963

Other practice location 1

4017 Williamsburg Ct Ste 100
Fairfax, VA 22032-1139
Phone (844) 782-6963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140819001841 OH Practitioner - Internal MedicinePractitioner - Psychiatry 0547487324 Reassigns benefits to 1 organization
I20251103002772 MN Practitioner - Psychiatry 0547487324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Midwestern University, Chicago College of Osteopathic Med, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4017 Williamsburg CT
Fairfax, VA 22032-1139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine, Master of Science

State licenses

LicenseStateTypeSpecialty
2539ALMDPsychiatry Physician
008845AZMDPsychiatry Physician
C0012KYMDPsychiatry Physician
110594NVMDPsychiatry Physician
34-011097OHMDPsychiatry Physician
T6510TXMDPsychiatry Physician
0102205271VAMDPsychiatry Physician
3349WVMDPsychiatry Physician
H86432MDMDPain Medicine Physician
4202TNMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Health, Inc CurrentSince Aug 4, 2014 Accepting new patients
Signature Health, Inc. Current Accepting new patients
Pass Partners Pain Medicine Current Accepting new patients
Signature Health Inc CurrentSince Aug 4, 2014 Accepting new patients
Aroramd LLC Addiction Medicine CurrentSince Dec 1, 2016 Accepting new patients
Aroramd LLC Psychiatry PastSince Jan 26, 2020 Accepting new patients

Locations (25 of 27)

600 Boulevard South SW
Huntsville, AL 35802
Phone (256) 705-3613

1525 S Higley Rd
Ste 104
Gilbert, AZ 85296
Phone (480) 640-4908

4570 N 1st Ave
Ste 120
Tucson, AZ 85718
Phone (520) 209-1635

1811 S Orlando Ave
Ste A
Cocoa Beach, FL 32931

712 S Ocean Shore Blvd
Flagler Beach, FL 32136
Phone (386) 227-6485

1200 Riverplace Blvd
Ste 105
Jacksonville, FL 32207
Phone (904) 788-7746

4300 N University Dr
Ste F100
Lauderhill, FL 33351
Phone (888) 633-4481

109 Silver Palm Ave
Ste A
Melbourne, FL 32901

255 S Orange Ave
Ste 104
Orlando, FL 32801
Phone (407) 283-9855

610 E Zack St
Ste 110
Tampa, FL 33602
Phone (813) 491-8887

1541 S Wickham Rd
West Melbourne, FL 32904
Phone (321) 725-8300

500 S Australian Ave
West Palm Beach, FL 33401
Phone (407) 329-8338

110 W Vine St
Fl 3
Lexington, KY 40507
Phone (317) 969-5701

4701 Sangamore Rd
Ste N100
Bethesda, MD 20816
Phone (240) 484-4226

10000 Highway 55
Ste 200
Plymouth, MN 55441
Phone (612) 875-9548

1050 E Flamingo Rd
Ste 107
Las Vegas, NV 89119
Phone (702) 527-3094

2345 Ashland Ave
Cincinnati, OH 45206
Phone (513) 216-0068

470 W Broad St
Columbus, OH 43215
Phone (614) 697-1454

21100 Southgate Park Blvd
Maple Heights, OH 44137
Phone (216) 663-6100

7232 Justin Way
Mentor, OH 44060
Phone (440) 488-2855

107 W Lytle St
Murfreesboro, TN 37130
Phone (615) 270-8100

2451 W Grapevine Mills Cir
Grapevine, TX 76051
Phone (682) 292-8306

10857 Kuykendahl Rd
Ste 120B
The Woodlands, TX 77382
Phone (346) 272-0026

327 Gate City Hwy
Ste F
Bristol, VA 24201
Phone (571) 418-8141

4017 Williamsburg Ct
Fairfax, VA 22032

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1386910172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4017 WILLIAMSBURG CT STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220321139",
            "telephone_number": "844-782-6963",
            "fax_number": "844-782-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 S WICKHAM RD",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329043540",
            "telephone_number": "844-782-6963",
            "fax_number": "888-729-9942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4017 Williamsburg Ct Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220321139",
            "country_code": "US",
            "telephone_number": "844-782-6963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARORA",
        "first_name": "SIDDHARTH",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "D.O., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-27",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "FL",
            "license": "OS13734",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "OH",
            "license": "34-011097",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "008845",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "2539",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "C0012",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "H86432",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "34-011097",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "110594",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "T6510",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WV",
            "license": "3349",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0102205271",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OS13734",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MD",
            "license": "H86432",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TN",
            "license": "4202",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "OS13734",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Melbourne, FL

Sources for this page

Verify at the official NPI Registry.