Organization Active NPI

Internal Medicine & Cardiology Associates PA

  • Specialist
  • Kissimmee, FL
National Provider Identifier
1689850331
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0067241 Issued in FL
Legal business name
INTERNAL MEDICINE & CARDIOLOGY ASSOCIATES PA
Practice address
1819 W Oak St
Kissimmee, FL 34741-4077
Phone
(407) 870-8220
Fax
(407) 870-8990
NPI assigned
Jan 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Authorized official

Name
Aisha Siddiqui
Title
Manager
Phone
(407) 870-8220

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X ME0067241 FL Primary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X ME0071877 FL

Addresses

Primary practice location

1819 W Oak St
Kissimmee, FL 34741-4077

Mailing address

1819 W Oak St
Kissimmee, FL 34741-4077
Phone (407) 870-8220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120530000197 FL Part B Supplier - Clinic/Group Practice 9032372107 Receives reassigned benefits from 3 practitioners
Practice locations: Kissimmee, FL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0922966Internal Medicine & Cardiology1819 W Oak Street, Kissimmee, FL 34741Certificate of waiverDec 10, 2026

National Provider Directory

National Provider Directory

Locations

1819 W Oak St
Kissimmee, FL 34741
Phone (407) 870-8220

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1689850331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414077",
            "telephone_number": "407-870-8220",
            "fax_number": "407-870-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414077",
            "telephone_number": "407-870-8220",
            "fax_number": "407-870-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE & CARDIOLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "AISHA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-870-8220"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0067241",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0071877",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.