NPIMap

Individual provider Active NPI

Tazeen Tahir Zaidi, MD

  • Family Medicine Physician
  • Sanford, FL
National Provider Identifier
1386976009
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME114284 Issued in FL
Practice address
712 W 25TH St
Sanford, FL 32771-4232
Phone
(407) 402-2303
Fax
(407) 321-0461
NPI assigned
Feb 4, 2010
Last updated
Jun 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 48959 KY
Family Medicine Physician 207Q00000X 27139 OK
Family Medicine Physician 207Q00000X ME114284 FL Primary

Addresses

Primary practice location

712 W 25TH St
Sanford, FL 32771-4232

Mailing address

PO Box 952917
Lake Mary, FL 32795-2917
Phone (407) 402-2303

Other identifiers 2

IdentifierTypeStateIssuer
HF013ZOtherFLMEDICARE PTAN
117979200MedicaidFL

Other names 1

  • Tazeen Tahir Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130531000251 FL Practitioner - Family Practice 1658558218 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1992
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

712 W 25TH St
Sanford, FL 32771-4232
Phone (407) 402-2303

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME114284FLMDFamily Medicine Physician
48959KYMDFamily Medicine Physician
27139OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Family Care LLC Family Medicine CurrentSince Dec 28, 2015 Accepting new patients
Inpatient Consultants of Florida, Inc CurrentSince Feb 18, 2016 Accepting new patients
Inpatient Consultants of Florida Inc CurrentSince Feb 18, 2016 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Feb 1, 2018 Accepting new patients
Family Practice Center of Sanford PA Family Medicine PastSince Jan 1, 2016 Accepting new patients

Locations

601 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 303-2200

712 W 25th St
Sanford, FL 32771
Phone (407) 322-6341

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: tazeentzaidi@accessfamilycarefl.kareodirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1386976009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 952917",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327952917",
            "telephone_number": "407-402-2303",
            "fax_number": "407-321-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 W 25TH ST",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327714232",
            "telephone_number": "407-402-2303",
            "fax_number": "407-321-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAIDI",
        "first_name": "TAZEEN",
        "middle_name": "TAHIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-04",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "48959",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "27139",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME114284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "HF013Z",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117979200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAZEEN",
            "last_name": "TAHIR",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sanford, FL

Sources for this page

Verify at the official NPI Registry.