Individual provider Active NPI

Rushad Juyia, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Weeki Wachee, FL
National Provider Identifier
1497045686
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
OS13277 Issued in FL
Practice address
7005 Nightwalker Rd
Weeki Wachee, FL 34613-6349
Phone
(352) 556-2524
Fax
(352) 556-5465
NPI assigned
Apr 9, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Emergency Medicine) Physician 207PS0010X OS13277 FL
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X OS13277 FL Primary

Addresses

Primary practice location

7005 Nightwalker Rd
Weeki Wachee, FL 34613-6349

Mailing address

7005 Nightwalker Rd
Weeki Wachee, FL 34613-6349
Phone (352) 556-2524

Other practice location 1

2040 Short Ave Ste 100
Odessa, FL 33556-3445
Phone (352) 556-2524

Other practice location 2

2040 Short Ave
Odessa, FL 33556-3445
Phone (352) 556-2524

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
I20151016000211 FL Practitioner - Emergency Medicine 2860620960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sports and Orthopedic Rehabilitation Services IncGroup PAC ID 0840104253, shared by 4 NPIs, 314 clinicians
Farhan Siddiqi MD PAGroup PAC ID 4284936113, 14 clinicians

Practice addresses (Care Compare)

5347 Main St
New Port Richey, FL 34652-2520
Phone (727) 841-0515

701 N W Shore Blvd
Tampa, FL 33609-1122
Phone (352) 556-2524

National Provider Directory

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

Practice roles (2 of 4)

OrganizationSpecialtyStatusNew patients
Farhan Siddiqi, MD PA CurrentSince Mar 15, 2017 Accepting new patients
Farhan Siddiqi, MD PA CurrentSince Mar 15, 2017 Accepting new patients

Locations

2040 Short Ave
Odessa, FL 33556
Phone (727) 372-9922

2040 Short Ave
Ste 100
Odessa, FL 33556
Phone (727) 372-9922

11319 Cortez Blvd
Spring Hill, FL 34613
Phone (352) 556-2524

701 N West Shore Blvd
Tampa, FL 33609
Phone (352) 340-5935

9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000

7005 Nightwalker Rd
Weeki Wachee, FL 34613
Phone (352) 556-2524

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: rushadjuyia@tsce.allscriptsdirect.net

Organizations & group practices 2

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": "1302307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1497045686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7005 NIGHTWALKER RD",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346136349",
            "telephone_number": "352-556-2524",
            "fax_number": "352-556-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7005 NIGHTWALKER RD",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346136349",
            "telephone_number": "352-556-2524",
            "fax_number": "352-556-5465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2040 Short Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "FL",
            "postal_code": "335563445",
            "country_code": "US",
            "telephone_number": "352-556-2524",
            "fax_number": "352-556-5465",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2040 Short Ave",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "FL",
            "postal_code": "335563445",
            "country_code": "US",
            "telephone_number": "352-556-2524",
            "fax_number": "352-556-5465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUYIA",
        "first_name": "RUSHAD",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-09",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "FL",
            "license": "OS13277",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "OS13277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weeki Wachee, FL

Sources for this page

Verify at the official NPI Registry.