NPIMap

Organization Active NPI

Farhan Siddiqi, MD PA

  • Orthopaedic Surgery of the Spine Physician
  • Odessa, FL
National Provider Identifier
1750752291
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
FARHAN SIDDIQI, MD PA
Practice address
2040 Short Ave
Suite 100
Odessa, FL 33556-3445
Phone
(727) 372-9922
Fax
(727) 372-8477
NPI assigned
Oct 9, 2015
Last updated
Oct 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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

Authorized official

Name
Farhan N Siddiqi, MDNPI 1124055306
Title
President
Phone
(727) 372-9922

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X Primary

Addresses

Primary practice location

2040 Short Ave
Suite 100
Odessa, FL 33556-3445

Mailing address

2040 Short Ave
Suite 100
Odessa, FL 33556-3445
Phone (727) 372-9922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160108000664 FL Part B Supplier - Clinic/Group Practice 4284936113 Receives reassigned benefits from 25 practitioners
Practice locations: Brooksville, FL; Clearwater, FL; Hudson, FL; Odessa, FL; Tampa, FL; Tarpon Springs, FL; Wesley Chapel, FL
O20220214000724 FL DME Supplier - Physician - General Practice 4284936113 Practice locations: Odessa, FL

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
10D2163956Farhan Siddiqi MD PA2040 Short Ave Ste 100, Floor 2, Odessa, FL 33556Certificate of waiverMar 24, 2027

National Provider Directory

National Provider Directory

Locations

2040 Short Ave
Odessa, FL 33556
Phone (727) 372-9922

7005 Nightwalker Rd
Weeki Wachee, FL 34613
Phone (352) 556-2524

Interoperability endpoints

  • Direct secure messaging: bryanwisniewski@tsce.allscriptsdirect.net
  • Direct secure messaging: colleenmaxcy@tsce.allscriptsdirect.net
  • Direct secure messaging: edmundbongolan@tsce.allscriptsdirect.net
  • Direct secure messaging: ericberryman@tsce.allscriptsdirect.net
  • Direct secure messaging: farhansiddiqi@tsce.allscriptsdirect.net
  • Direct secure messaging: jacobchoi@tsce.allscriptsdirect.net
  • Direct secure messaging: jamesbillys@tsce.allscriptsdirect.net
  • Direct secure messaging: marywright@tsce.allscriptsdirect.net
  • Direct secure messaging: rushadjuyia@tsce.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444348800000",
    "number": "1750752291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 SHORT AVE",
            "address_2": "SUITE 100",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335563445",
            "telephone_number": "727-372-9922",
            "fax_number": "727-372-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 SHORT AVE",
            "address_2": "SUITE 100",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335563445",
            "telephone_number": "727-372-9922",
            "fax_number": "727-372-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARHAN SIDDIQI, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-09",
        "last_updated": "2015-10-09",
        "status": "A",
        "authorized_official_last_name": "SIDDIQI",
        "authorized_official_first_name": "FARHAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-372-9922",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; 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.