Individual provider Active NPI

Fady Sourial, DO

  • Radiation Oncology Physician
  • Largo, FL
National Provider Identifier
1437688900
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
OS23763 Issued in FL
Practice address
1835 Indian Rocks Rd S
Largo, FL 33774-1030
Phone
(727) 586-2273
Fax
(727) 584-5966
NPI assigned
Jun 8, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X OS23763 FL Primary

Addresses

Primary practice location

1835 Indian Rocks Rd S
Largo, FL 33774-1030

Mailing address

1835 Indian Rocks Rd S
Largo, FL 33774-1030
Phone (727) 586-2273

Other practice location 1

3611 Little Rd
Trinity, FL 34655-1813
Phone (727) 264-6222

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260624000075 FL Practitioner - Radiation Oncology 1355814161

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Rowan University School of Osteopathic Medicine, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

405 Cranford Way
Cranberry Township, PA 16066-5721

5000 Park St N
Suite 1017
St Petersburg, FL 33709-2236

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1437688900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 INDIAN ROCKS RD S",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337741030",
            "telephone_number": "727-586-2273",
            "fax_number": "727-584-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 INDIAN ROCKS RD S",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337741030",
            "telephone_number": "727-586-2273",
            "fax_number": "727-584-5966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3611 Little Rd",
            "address_purpose": "LOCATION",
            "city": "Trinity",
            "state": "FL",
            "postal_code": "346551813",
            "country_code": "US",
            "telephone_number": "727-264-6222",
            "fax_number": "727-232-6426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOURIAL",
        "first_name": "FADY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-08",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "OS23763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.