Individual provider Active NPI

Syed Ali Safdar, M.D.

  • Internal Medicine Physician
  • Zephyrhills, FL
National Provider Identifier
1760486237
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0070811 Issued in FL
Practice address
37900 Daughtery Rd
Zephyrhills, FL 33541
Phone
(813) 715-4446
Fax
(813) 780-7786
NPI assigned
Jun 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0070811 FL Primary

Addresses

Primary practice location

37900 Daughtery Rd
Zephyrhills, FL 33541

Mailing address

PO Box 48589
Tampa, FL 33647-0122
Phone (813) 715-4446

Other identifiers 2

IdentifierTypeStateIssuer
250174100MedicaidFL
110232732OtherRAIL ROAD MEDICARE

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
I20110111000120 FL Practitioner - Internal Medicine 3173517760 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0070811FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conviva Medical Center Management LLC Internal Medicine CurrentSince Mar 11, 2022 Accepting new patients
Sun Medical Group LLC Internal Medicine CurrentSince Mar 19, 2023 Accepting new patients
Point of Care Clinic Central LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

500 Vonderburg Dr
Ste 210W
Brandon, FL 33511
Phone (313) 662-3777

5238 Norwood Ave
#16
Jacksonville, FL 32208
Phone (904) 265-2050

37900 Daughtery Rd
Zephyrhills, FL 33541
Phone (813) 600-9981

37922 Daughtery Rd
Zephyrhills, FL 33541
Phone (813) 395-6976

Organizations & group practices 5

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": "1118448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1760486237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48589",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336470122",
            "telephone_number": "813-715-4446",
            "fax_number": "813-780-7786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37900 DAUGHTERY RD",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "33541",
            "telephone_number": "813-715-4446",
            "fax_number": "813-780-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFDAR",
        "first_name": "SYED",
        "middle_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-11",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0070811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250174100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "110232732",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

Verify at the official NPI Registry.