Individual provider Active NPI

Sidra Asrar

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1508353962
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME151712 Issued in FL
Practice address
910 N Jefferson St
Jacksonville, FL 32209-6810
Phone
(904) 244-2120
Fax
(904) 244-2896
NPI assigned
Apr 20, 2018
Last updated
Sep 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME151712 FL Primary
Internal Medicine Physician 207R00000X 100028389 NY

Addresses

Primary practice location

910 N Jefferson St
Jacksonville, FL 32209-6810

Mailing address

PO Box 44008
Jacksonville, FL 32231-4008
Phone (904) 244-2120

Other practice location 1

234 E 149th St
Bronx, NY 10451-5504
Phone (718) 579-5460

Other practice location 2

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 639-8500

Other identifiers 1

IdentifierTypeStateIssuer
100028389MedicaidNY

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
I20210916001363 FL Practitioner - Pediatric MedicinePractitioner - Family PracticePractitioner - Infectious Disease 1254668247 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Family Practice, Infectious Disease
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pairtu Health Medical Group PAGroup PAC ID 1052859873, 10 clinicians
Care Talk Health FL PAGroup PAC ID 3173995966, 31 clinicians

Practice addresses (Care Compare)

390 NE 191St St
Miami, FL 33179-3899
Phone (669) 231-6870

600 Stewart St
Suite 300And400
Seattle, WA 98101-1230
Phone (669) 231-6870

7845 Paradise Island Blvd
Apt 5204
Jacksonville, FL 32256-3804
Phone (443) 929-1478

Merit-based Incentive Payment System (MIPS)

Final score
59.59 of 100Reported as apm
Quality
59.93
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
100028389NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pairtu Health Medical Group PA Family Medicine CurrentSince Dec 29, 2025 Accepting new patients
VMD Primary Providers Central Florida PLLC Family Medicine CurrentSince Jul 15, 2022 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Family Medicine CurrentSince Sep 20, 2021 Accepting new patients
VMD Primary Providers Central Florida PLLC Family Medicine CurrentSince Jul 15, 2022 Accepting new patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients
Inpatient Consultants of Florida, Inc Internal Medicine CurrentSince Apr 28, 2022 Accepting new patients
Inpatient Consultants of Florida Inc Internal Medicine CurrentSince Apr 28, 2022 Accepting new patients
Care Talk Health FL PA CurrentSince Apr 1, 2024 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince May 1, 2024 Accepting new patients
University of Florida Jacksonville Physicians Inc Family Medicine CurrentSince May 1, 2024 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Sep 20, 2021 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Family Medicine Past Accepting new patients
VMD Primary Providers Central Florida PLLC Family Medicine PastSince May 8, 2022 Accepting new patients

Locations

4404 S Highway 27
Clermont, FL 34711

1255 Lila St
Jacksonville, FL 32208
Phone (904) 244-5700

1443 San Marco Blvd
Jacksonville, FL 32207
Phone (904) 633-4110

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

910 N Jefferson St
Jacksonville, FL 32209
Phone (904) 360-7022

390 NE 191st St
Ste 8393
Miami, FL 33179
Phone (669) 231-6870

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

1060 Woodcock Rd
Ste 128
Orlando, FL 32803
Phone (346) 980-2725

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

4849 Rugby Ave
Bethesda, MD 20814
Phone (240) 817-7500

Interoperability endpoints

  • Direct secure messaging: sasrar542337@direct.shands.ufl.edu
  • Direct secure messaging: sidra.asrar.1@13956.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1508353962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44008",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322314008",
            "telephone_number": "904-244-2120",
            "fax_number": "904-244-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 N JEFFERSON ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096810",
            "telephone_number": "904-244-2120",
            "fax_number": "904-244-2896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 E 149th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104515504",
            "country_code": "US",
            "telephone_number": "718-579-5460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 Kingsley Ave",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320735148",
            "country_code": "US",
            "telephone_number": "904-639-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASRAR",
        "first_name": "SIDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-20",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME151712",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "100028389",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100028389",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.