Active NPI
Nida Javed Syed, M.D.
- Psychiatry Physician
- Bloomington, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 01079324B
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME151812 | FL | MD | Psychiatry Physician |
| 01079324B | IN | MD | Psychiatry Physician |
| 4301504044 | MI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Health Bloomington Inc | Current | Accepting new patients | |
| Listen Well Telepsychiatry, LLC | Psychiatry | Current | Accepting new patients |
| Indiana University Health Bloomington Inc | Psychiatry | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Bloomington, IN
- NPI 1013953983
-
- Psychiatry Physician
- Bloomington, IN
- NPI 1871519074
-
- Community/Retail Pharmacy
- Bloomington, IN
- NPI 1922640077
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Psychiatry
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.