Individual provider Active NPI

Umbul Haider, DO

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1447935085
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
UO9202 Issued in FL
Practice address
7975 Lake Underhill Rd Ste 200
Orlando, FL 32822-8204
Phone
(407) 303-5990
NPI assigned
Jun 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X UO9202 FL Primary

Addresses

Primary practice location

7975 Lake Underhill Rd Ste 200
Orlando, FL 32822-8204

Mailing address

9740 Pecky Cypress Way
Orlando, FL 32836-6584

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
I20230718002572 FL Order and Referring Only - Family PracticePractitioner - Family Practice 9830559194

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Nova Southeastern College of Osteo Medicine, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

330 Seven Springs Way
Brentwood, TN 37027-5098

3416 Valley Brook Rd
Nashville, TN 37215-2021

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
UO9202FLMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: uhaider1720003@adventhealth.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1447935085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9740 PECKY CYPRESS WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328366584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7975 LAKE UNDERHILL RD STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328228204",
            "telephone_number": "407-303-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIDER",
        "first_name": "UMBUL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "UO9202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.