Individual provider Active NPI

Nida Javed Syed, M.D.

  • Psychiatry Physician
  • Bloomington, IN
National Provider Identifier
1457790602
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
01079324B Issued in IN
Practice address
3105 S Sare Rd Ste 400
Bloomington, IN 47401-0052
Phone
(812) 994-0918
NPI assigned
Jun 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301504044 MI
Psychiatry Physician 2084P0800X 01079324B IN Primary
Psychiatry Physician 2084P0800X ME151812 FL

Addresses

Primary practice location

3105 S Sare Rd Ste 400
Bloomington, IN 47401-0052

Mailing address

3105 S Sare Rd Ste 400
Bloomington, IN 47401-0052
Phone (812) 994-0918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MI2 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
I20171128000774 IN Practitioner - Psychiatry 1456618545 Reassigns benefits to 2 organizations
I20250827002072 MI Practitioner - Psychiatry 1456618545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Bloomington, IN 47401
Phone (812) 994-0918

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME151812FLMDPsychiatry Physician
01079324BINMDPsychiatry Physician
4301504044MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Bloomington Inc CurrentSince Oct 18, 2017 Accepting new patients
Listen Well Telepsychiatry, LLC Psychiatry CurrentSince Jan 19, 2025 Accepting new patients
Indiana University Health Bloomington Inc Psychiatry CurrentSince Oct 18, 2017 Accepting new patients
Teladoc Health Medical Group, P.a. Psychiatry Current Accepting new patients

Locations

7987 Solution Ctr
Chicago, IL 60677

3105 S Sare Rd
Ste 400
Bloomington, IN 47401
Phone (812) 994-0918

727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450

601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252

714 N Senate Ave
Ste 130
Indianapolis, IN 46202
Phone (317) 963-5582

261 E Maple Rd
Birmingham, MI 48009
Phone (248) 540-1340

Interoperability endpoints

  • Direct secure messaging: nidasyed@tdh.allscriptsdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1457790602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 S SARE RD STE 400",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474010052",
            "telephone_number": "812-994-0918",
            "fax_number": "317-296-7187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 S SARE RD STE 400",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474010052",
            "telephone_number": "812-994-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYED",
        "first_name": "NIDA",
        "middle_name": "JAVED",
        "name_prefix": "Miss",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301504044",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01079324B",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME151812",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.