Individual provider Active NPI

Faisel Ali Syed, M.D.

  • Family Medicine Physician
  • Lakeland, FL
National Provider Identifier
1710273743
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME120859 Issued in FL
Practice address
206 N Florida Ave
Lakeland, FL 33801-4902
Phone
(863) 209-7003
Fax
(863) 274-3520
NPI assigned
Jun 28, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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 ME120859 FL Primary

Addresses

Primary practice location

206 N Florida Ave
Lakeland, FL 33801-4902

Mailing address

1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (305) 628-6117

Other practice location 1

7814 N Dale Mabry Hwy
Tampa, FL 33614-3220
Phone (813) 405-3939

Other practice location 2

4715 S Florida Ave Ste 200
Lakeland, FL 33813
Phone (863) 209-7004

Other practice location 3

4715 S Florida Ave Ste 200
Lakeland, FL 33813
Phone (863) 209-7004

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
I20140915002586 FL Practitioner - Family Practice 7911133327 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME120859FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Dec 1, 2017 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Dec 1, 2017 Accepting new patients

Locations

855 S Highland Ave
Clearwater, FL 33756
Phone (727) 219-1833

4715 S Florida Ave
Ste 200
Lakeland, FL 33813
Phone (863) 209-7004

4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003

206 N Florida Ave
Lakeland, FL 33801
Phone (863) 209-7003

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

3128 E Hillsborough Ave
Tampa, FL 33610
Phone (813) 579-1767

Interoperability endpoints

  • Direct secure messaging: faisel.syed.1@27775.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BHGCDD/Endpoint/BHGCDD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1710273743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "305-628-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338014902",
            "telephone_number": "863-209-7003",
            "fax_number": "863-274-3520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7814 N Dale Mabry Hwy",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336143220",
            "country_code": "US",
            "telephone_number": "813-405-3939",
            "fax_number": "813-405-3938",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4715 S Florida Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "33813",
            "country_code": "US",
            "telephone_number": "863-209-7004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4715 S Florida Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "33813",
            "country_code": "US",
            "telephone_number": "863-209-7004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SYED",
        "first_name": "FAISEL",
        "middle_name": "ALI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME120859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.