Fathima Syed MD PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FATHIMA SYED MD PLLC

Practice address

3606 Madaca LN
Tampa, FL 33618-2057

Phone

(813) 968-7830

Fax

(813) 265-9697

NPI assigned

Oct 14, 2020

Last updated

Feb 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly Kilgore

Title

Office Manager

Phone

(813) 968-7830

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bruce Allen Kahan, MD

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1447211156
  Medicare reassignment NPD
• Fathimazzohare Syed, M.D.

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1629161534
  Medicare reassignment NPD

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1538767249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3606 MADACA LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182057",
            "telephone_number": "813-968-7830",
            "fax_number": "813-265-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 MADACA LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182057",
            "telephone_number": "813-968-7830",
            "fax_number": "813-265-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FATHIMA SYED MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-14",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "KILGORE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "813-968-7830"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fashgate Investment, LLC (Wellswood Care Center)
• Lydia Evangeline Fasig, LDO, ABOC, NCLEC
• Kathleen Sue Fasnacht, ARNP
• Erika Fassler
• Fast Food Healing LLC
• Carolina D Fatjo Pires
• Kendra Fatzinger, LCSW
• Deborah Jean Faucette, R.PH
• Mary Marie Faucher, M.D.
• Stephani Fauerbach

• Internal Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.