Individual provider Active NPI

Sadiya Ahmed Farooqui, D.O.

  • Family Medicine Physician
  • Temple Terrace, FL
National Provider Identifier
1710279591
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS13341 Issued in FL
Practice address
9740 N 56TH St Ste B
Temple Terrace, FL 33617-5500
Phone
(813) 200-7717
Fax
(813) 985-8500
NPI assigned
May 11, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2024

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 OS13341 FL Primary

Addresses

Primary practice location

9740 N 56TH St Ste B
Temple Terrace, FL 33617-5500

Mailing address

425 W Colonial Dr Ste 303
Orlando, FL 32804-6863
Phone (321) 332-6947

Other practice location 1

1415 S Collins St
Plant City, FL 33563
Phone (813) 906-1411

Other practice location 2

1415 S Collins St
Plant City, FL 33563
Phone (813) 906-1411

Other identifiers 2

IdentifierTypeStateIssuer
102158900MedicaidFL
OS13341OtherFLD.O. LICENSE

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
I20151002001597 FL Practitioner - Family Practice 9436467941 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS13341FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers Central Florida PLLC Family Medicine CurrentSince Dec 13, 2021 Accepting new patients
Orlando Family Physicians, LLC PastSince Jan 5, 2025 Accepting new patients
Idelis Fedeslinda Arias de la Torre Family Medicine PastSince Jun 1, 2021 Accepting new patients

Locations

1060 Woodcock Rd
Ste 128
Orlando, FL 32803
Phone (346) 980-2725

5601 N Hiawassee Rd
Orlando, FL 32818
Phone (321) 294-0611

Organizations & group practices 3

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": "1305072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1710279591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W COLONIAL DR STE 303",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046863",
            "telephone_number": "321-332-6947",
            "fax_number": "407-286-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9740 N 56TH ST STE B",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336175500",
            "telephone_number": "813-200-7717",
            "fax_number": "813-985-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 S Collins St",
            "address_purpose": "LOCATION",
            "city": "Plant City",
            "state": "FL",
            "postal_code": "33563",
            "country_code": "US",
            "telephone_number": "813-906-1411",
            "fax_number": "813-413-1966",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1415 S Collins St",
            "address_purpose": "LOCATION",
            "city": "Plant City",
            "state": "FL",
            "postal_code": "33563",
            "country_code": "US",
            "telephone_number": "813-906-1411",
            "fax_number": "813-413-1966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAROOQUI",
        "first_name": "SADIYA",
        "middle_name": "AHMED",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-11",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS13341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102158900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "D.O. LICENSE",
            "identifier": "OS13341",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Terrace, FL

Sources for this page

Verify at the official NPI Registry.