Individual provider Active NPI

Happy Farouk Sadiek, M.D

  • Nephrology Physician
  • Jacksonville, FL
National Provider Identifier
1518212547
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME123006 Issued in FL
Practice address
4201 Belfort Rd
Jacksonville, FL 32216-1431
Phone
(904) 346-3649
Fax
(904) 348-5627
NPI assigned
Jul 16, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 57-020682 OH
Internal Medicine Physician 207R00000X ME123006 FL
Nephrology Physician 207RN0300X ME123006 FL Primary

Addresses

Primary practice location

4201 Belfort Rd
Jacksonville, FL 32216-1431

Mailing address

13749 Harbor Creek PL
Jacksonville, FL 32224-0813
Phone (904) 202-1032

Other identifiers 2

IdentifierTypeStateIssuer
P01478677OtherFLRAILROAD MEDICARE
014780700MedicaidFL

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
I20150528002454 FL Practitioner - Internal Medicine 5193045318 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hni Medical Services of Florida, LLCGroup PAC ID 7517202112, 104 clinicians
Florida Kidney Physicians LLCGroup PAC ID 4385925650, 167 clinicians

Practice addresses (Care Compare)

1670 St Vincents Way
Middleburg, FL 32068-8447
Phone (512) 730-3056

2585 Herschel St
Jacksonville, FL 32204-4557
Phone (904) 388-2678

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.33 of 100Reported as group
Quality
70.52
Promoting interoperability
100
Improvement activities
40
Cost
73.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57-020682OHMDInternal Medicine Physician
ME123006FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hni Medical Services of Florida, LLC Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
Hni Hospital Services of Florida, LLC Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
University of Florida Jacksonville Physicians Inc Nephrology CurrentSince Aug 1, 2018 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Aug 1, 2018 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Internal Medicine Current Accepting new patients
Florida Kidney Physicians , LLC Nephrology CurrentSince Jul 20, 2021 Accepting new patients
Florida Kidney Physicians, LLC Nephrology CurrentSince Jul 20, 2021 Accepting new patients
Baptist Primary Care Inc Internal Medicine Past Accepting new patients

Locations

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

1150 N 35th Ave
Ste 620
Hollywood, FL 33021
Phone (954) 612-8173

11236 Baptist Health Dr
Jacksonville, FL 32218
Phone (904) 202-6900

4901 Richard St
Jacksonville, FL 32207
Phone (904) 425-0500

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

836 Prudential Dr
Ste 1207
Jacksonville, FL 32207
Phone (904) 396-8656

4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

2585 Herschel St
Jacksonville, FL 32204

19056 NE 29th Ave
Miami, FL 33180
Phone (305) 354-4558

1670 St Vincents Way
Middleburg, FL 32068
Phone (904) 308-3960

615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

12662 Telecom Dr
Temple Terrace, FL 33637
Phone (813) 910-8708

7500 Rialto Blvd
Ste 1-140
Austin, TX 78735

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15644/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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.

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": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1518212547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13749 HARBOR CREEK PL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322240813",
            "telephone_number": "904-202-1032",
            "fax_number": "904-348-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 BELFORT RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161431",
            "telephone_number": "904-346-3649",
            "fax_number": "904-348-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADIEK",
        "first_name": "HAPPY",
        "middle_name": "FAROUK",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-16",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57-020682",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME123006",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME123006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01478677",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014780700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.