Individual provider Active NPI

Sohaib Al Obaidi, MD

  • Internal Medicine Physician
  • Orlando, FL
National Provider Identifier
1598347239
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME166852 Issued in FL
Practice address
3615 S Orange Ave
Orlando, FL 32806-6216
Phone
(407) 855-2526
NPI assigned
Apr 22, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME166852 FL Primary

Addresses

Primary practice location

3615 S Orange Ave
Orlando, FL 32806-6216

Mailing address

3615 S Orange Ave
Orlando, FL 32806-6216
Phone (321) 841-5145

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
I20240924002036 FL Practitioner - Internal Medicine 0648672642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Primary Care Specialists of Orlando LLCGroup PAC ID 9830353317, 3 clinicians

Practice addresses (Care Compare)

3615 S Orange Ave
Orlando, FL 32806-6216
Phone (407) 855-2526

Hospital & facility affiliations

  • Adventhealth Home Health Home health agency, Altamonte Springs, FL, CCN 107211
  • Trilogy Home Healthcare Home health agency, Orlando, FL, CCN 683131
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Orlando Health Hospital, Orlando, FL, CCN 100006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME166852FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Specialists of Orlando LLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

3615 S Orange Ave
Orlando, FL 32806
Phone (407) 855-2526

Organizations & group practices 1

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 5

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": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1598347239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 S ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066216",
            "telephone_number": "321-841-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 S ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066216",
            "telephone_number": "407-855-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL OBAIDI",
        "first_name": "SOHAIB",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-22",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME166852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.