Individual provider Active NPI

Usman Rasheed Siddiqui, MD

  • Clinical Cardiac Electrophysiology Physician
  • Winter Park, FL
National Provider Identifier
1467623199
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
ME 96252 Issued in FL
Practice address
483 N Semoran Blvd
Suite 102
Winter Park, FL 32792-3800
Phone
(407) 645-1847
Fax
(321) 274-0246
NPI assigned
Mar 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME 96252 FL
Nuclear Cardiology Physician 207UN0901X ME96252 FL
Clinical Cardiac Electrophysiology Physician 207RC0001X ME 96252 FL Primary

Addresses

Primary practice location

483 N Semoran Blvd
Suite 102
Winter Park, FL 32792-3800

Mailing address

483 N Semoran Blvd
Suite 102
Winter Park, FL 32792-3800
Phone (407) 645-1847

Other identifiers 1

IdentifierTypeStateIssuer
001219700MedicaidFL

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
I20090817000426 FL Practitioner - Cardiac ElectrophysiologyPractitioner - Other (Physician)Practitioner - Cardiovascular Disease (Cardiology) 3779637368 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heart and Vascular PLCGroup PAC ID 8729184379, 13 clinicians
Marion Heart Associates, PAGroup PAC ID 8426951377, 10 clinicians
Florida Cardiology PAGroup PAC ID 3678475993, 22 clinicians

Practice addresses (Care Compare)

101 Park Place Blvd
Suite C
Davenport, FL 33837-6865
Phone (352) 362-4223

1805 SE Lake Weir Ave
Ocala, FL 34471-5426
Phone (352) 867-9600

483 N Semoran Blvd
Winter Park, FL 32792-3800
Phone (407) 645-1847

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.43 of 100Reported as group
Quality
100
Improvement activities
40
Cost
35.45

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair45
Leg revascularization (restoring blood flow)38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 96252FLMDCardiovascular Disease Physician
ME96252FLMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shreeven LLC CurrentSince Apr 1, 2023 Accepting new patients
Central Florida Cardiology Interpretations LLC CurrentSince Aug 6, 2012 Accepting new patients
Marion Heart Associates, PA Cardiovascular Disease CurrentSince Mar 1, 2023 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jun 1, 2019 Accepting new patients
Ankem Ravindra MD PA Cardiovascular Disease CurrentSince Dec 1, 2025 Accepting new patients
Heart & Vascular PLC Cardiovascular Disease CurrentSince Apr 1, 2025 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jun 1, 2019 Accepting new patients
DRS. Raja & Raja, PA Past Accepting new patients

Locations

405 Lionel Way
Davenport, FL 33837
Phone (407) 412-0111

101 Park Place Blvd
Ste C
Davenport, FL 33837
Phone (352) 362-4223

141 Victoria Commons Blvd
Deland, FL 32724
Phone (386) 427-4544

1211 SW Bascom Norris Dr
Lake City, FL 32025
Phone (386) 326-3633

1136 Bryn Mawr Ave
Lake Wales, FL 33853
Phone (352) 362-4223

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

1805 SE Lake Weir Ave
Ocala, FL 34471
Phone (352) 307-1616

1609 SW 17th St
Ocala, FL 34471
Phone (352) 401-9888

1609 SW 17th St
Ste 100
Ocala, FL 34471
Phone (352) 401-9888

7139 N US Highway 1
Port St John, FL 32927
Phone (321) 635-8304

1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316

1370 E Venice Ave
Ste 102
Venice, FL 34285

320 1st St N
Winter Haven, FL 33881
Phone (646) 295-5136

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: usman.siddiqui@flcard.directbygreenway.com

Organizations & group practices 9

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 4

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": "1205971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1467623199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 N SEMORAN BLVD",
            "address_2": "SUITE 102",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923800",
            "telephone_number": "407-645-1847",
            "fax_number": "321-274-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 N SEMORAN BLVD",
            "address_2": "SUITE 102",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923800",
            "telephone_number": "407-645-1847",
            "fax_number": "321-274-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "USMAN",
        "middle_name": "RASHEED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-20",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME 96252",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "FL",
            "license": "ME96252",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "FL",
            "license": "ME 96252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001219700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.