Individual provider Active NPI

Sary Omar Beidas, MD

  • Internal Medicine Physician
  • Sarasota, FL
National Provider Identifier
1700885480
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME117803 Issued in FL
Practice address
1825 Dr Martin Luther King Way
Sarasota, FL 34234-2525
Phone
(941) 952-4123
Fax
(941) 952-4101
NPI assigned
Jul 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD20519 DC
Infectious Disease Physician 207RI0200X MD20519 DC
Internal Medicine Physician 207R00000X ME117803 FL Primary

Addresses

Primary practice location

1825 Dr Martin Luther King Way
Sarasota, FL 34234-2525

Mailing address

PO Box 863407
Orlando, FL 32886-3407
Phone (941) 917-2600

Other names 1

  • Dr. Sary Omar Beidas Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20150730013530 FL Practitioner - Internal MedicinePractitioner - Infectious Disease 0345489688 Reassigns benefits to 1 organization
I20250226003596 GA Practitioner - Internal MedicinePractitioner - Infectious Disease 0345489688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooperative Healthcare Services IncGroup PAC ID 9830093640, 235 clinicians

Practice addresses (Care Compare)

2500 Starling St
Suite 401
Brunswick, GA 31520-4293
Phone (912) 554-0544

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD20519DCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SMH Physician Services Inc Internal Medicine CurrentSince Oct 7, 2019 Accepting new patients
Cooperative Healthcare Services Inc Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients

Locations

1825 Dr Martin Luther King Way
Sarasota, FL 34234
Phone (941) 262-4123

1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565

2500 Starling St
Ste 401
Brunswick, GA 31520
Phone (912) 554-0544

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

2500 Starling St
Ste 403
Brunswick, GA 31520
Phone (912) 466-7562

Organizations & group practices 2

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": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1700885480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 863407",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328863407",
            "telephone_number": "941-917-2600",
            "fax_number": "941-917-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 DR MARTIN LUTHER KING WAY",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342342525",
            "telephone_number": "941-952-4123",
            "fax_number": "941-952-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEIDAS",
        "first_name": "SARY",
        "middle_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD20519",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "DC",
            "license": "MD20519",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME117803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARY",
            "last_name": "BEIDAS",
            "middle_name": "OMAR",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.