Individual provider Active NPI

Ismet Saifullah, MD

  • Family Medicine Physician
  • Largo, FL
National Provider Identifier
1679530604
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME82948 Issued in FL
Practice address
101 Clearwater Largo Rd N
Largo, FL 33770-2357
Phone
(727) 588-0366
Fax
(727) 588-0370
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME82948 FL Primary

Addresses

Primary practice location

101 Clearwater Largo Rd N
Largo, FL 33770-2357

Mailing address

101 Clearwater-Largo Rd N #2
Largo, FL 33770-2357
Phone (727) 588-0366

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
I20041110000847 FL Practitioner - Family Practice 8628031614 Practice locations: Largo, FL

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1679530604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CLEARWATER-LARGO RD N #2",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702357",
            "telephone_number": "727-588-0366",
            "fax_number": "727-588-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CLEARWATER LARGO RD N",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702357",
            "telephone_number": "727-588-0366",
            "fax_number": "727-588-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAIFULLAH",
        "first_name": "ISMET",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME82948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.