Individual provider Active NPI

Salar Syed Badruddin, M.D.

  • Pediatric Critical Care Medicine Physician
  • Tampa, FL
National Provider Identifier
1548604374
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
129148 Issued in OH
Practice address
3001 W Dr Martin Luther King Jr Blvd FL 1
Tampa, FL 33607-6307
Phone
(813) 870-4619
Fax
(813) 554-8557
NPI assigned
Apr 23, 2013
Last updated
Mar 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Pediatric Critical Care Medicine Physician 2080P0203X 129148 OH Primary

Addresses

Primary practice location

3001 W Dr Martin Luther King Jr Blvd FL 1
Tampa, FL 33607-6307

Mailing address

3001 W Dr Martin Luther King Jr Blvd FL 1
Tampa, FL 33607-6307
Phone (813) 870-4619

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL, SD3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190813001116 PA Practitioner - Critical Care (Intensivists) 6608103700 Reassigns benefits to 1 organization
I20220107001412 FL Practitioner - Pediatric Medicine 6608103700 Reassigns benefits to 3 organizations
I20260329000037 SD Practitioner - Pediatric Medicine 6608103700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

353 Fairmont Blvd
Rapid City, SD 57701-7375

353 Fairmont Blvd
Rapid City, SD 57701-7393

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
129148OHMDPediatric Critical Care Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. Current Accepting new patients
Emergency Medicine Services of FL, LLC CurrentSince Apr 1, 2023 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2019 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2019 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Baycare Medical Group, Inc. CurrentSince Dec 1, 2021 Accepting new patients
Hospital Medicine Services of FL, LLC CurrentSince Apr 1, 2023 Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

2995 Drew St
Fl 3
Clearwater, FL 33759

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

3001 W Mlk Blvd
Fl 1
Tampa, FL 33607
Phone (813) 321-6820

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

3550 Ter St
Pittsburgh, PA 15261
Phone (412) 647-8977

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1548604374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 W DR MARTIN LUTHER KING JR BLVD FL 1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076307",
            "telephone_number": "813-870-4619",
            "fax_number": "813-554-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 W DR MARTIN LUTHER KING JR BLVD FL 1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076307",
            "telephone_number": "813-870-4619",
            "fax_number": "813-554-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADRUDDIN",
        "first_name": "SALAR",
        "middle_name": "SYED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-23",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "OH",
            "license": "129148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.