Active NPI
Internal Medicine & Cardiology Associates PA
- Specialist
- Kissimmee, FL
National Provider Identifier
1689850331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME0067241
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME0067241 | FL | Primary |
| Specialist | 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0922966 | Internal Medicine & Cardiology | Certificate of waiver | Dec 10, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- Kissimmee, FL
- NPI 1427088442
-
- Specialist
- Kissimmee, FL
- NPI 1679503684
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
- Integrative Cancer Clinics of Florida Inc
- Integrative Chiropractic of CFL
- Integrative Physical Medicine of Kissimmee LLC.
- Intensivists United Inc.
- Internal Medical Associates of Central Florida
- Internal Medicine Services of Osceloa
- Internal Medicine Solution of Central Florida, PLLC
- International House of Life Coaching Incorporated
- Interra Health Inc.
- Interra Health, Inc
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.