Individual provider Active NPI

Morteza Sadeh, MD

  • Neurological Surgery Physician
  • Lakeland, FL
National Provider Identifier
1780171306
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME183190 Issued in FL
Practice address
2300 E County Road 540a FL 2
Lakeland, FL 33813-3825
Phone
(321) 841-7550
Fax
(321) 841-8185
NPI assigned
Apr 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Neurological Surgery Physician 207T00000X ME183190 FL Primary

Addresses

Primary practice location

2300 E County Road 540a FL 2
Lakeland, FL 33813-3825

Mailing address

2300 E County Road 540a FL 2
Lakeland, FL 33813-3825
Phone (321) 841-7550

Other practice location 1

5615 Kyle Center Dr
Kyle, TX 78640-6553
Phone (512) 409-9903

Other practice location 2

1740 W Taylor St
Chicago, IL 60612-7232
Phone (866) 600-2273

Other practice location 3

4207 James Casey St Ste 111
Austin, TX 78745-3362
Phone (512) 409-9903

Other practice location 4

1401 Medical Parkway
Building B Suite 412
Cedar Park, TX 78613
Phone (512) 409-9903

Other practice location 5

1502 Blue Ridge Dr Ste 301
Georgetown, TX 78626-1002
Phone (512) 409-9903

Other identifiers 1

IdentifierTypeStateIssuer
132161400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250516000150 TX Practitioner - Neurosurgery 4284984279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinton J Baird PLCGroup PAC ID 7911242961, 15 clinicians

Practice addresses (Care Compare)

1502 Blue Ridge Dr
Suite 301
Georgetown, TX 78626-1002
Phone (512) 409-9903

Hospital & facility affiliations

  • St David'S South Austin Medical Center Hospital, Austin, TX, CCN 450713
  • Ascension Seton Hays Hospital, Kyle, TX, CCN 670056
  • St David'S Medical Center Hospital, Austin, TX, CCN 450431

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion15
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinton J Baird PLC Neurological Surgery CurrentSince Jun 1, 2025 Accepting new patients
Clinton J Baird PLC Neurological Surgery CurrentSince Jun 1, 2025 Accepting new patients

Locations

6130 E 81st St
Tulsa, OK 74137
Phone (918) 401-1002

4207 James Casey St
Ste 111
Austin, TX 78745
Phone (512) 409-9903

1401 Medical Pkwy
Ste 412
Cedar Park, TX 78613
Phone (512) 260-6050

1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000

1502 Blue Ridge Dr
Ste 301
Georgetown, TX 78626
Phone (512) 409-9903

5615 Kyle Center Dr
Kyle, TX 78640
Phone (512) 409-9903

Interoperability endpoints

  • Direct secure messaging: msadeh18176@uihealth.direct-ci.com

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1780171306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 E COUNTY ROAD 540A FL 2",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133825",
            "telephone_number": "321-841-7550",
            "fax_number": "321-841-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 E COUNTY ROAD 540A FL 2",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133825",
            "telephone_number": "321-841-7550",
            "fax_number": "321-841-8185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5615 Kyle Center Dr",
            "address_purpose": "LOCATION",
            "city": "Kyle",
            "state": "TX",
            "postal_code": "786406553",
            "country_code": "US",
            "telephone_number": "512-409-9903",
            "fax_number": "918-493-3304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1740 W Taylor St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606127232",
            "country_code": "US",
            "telephone_number": "866-600-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4207 James Casey St Ste 111",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787453362",
            "country_code": "US",
            "telephone_number": "512-409-9903",
            "fax_number": "918-493-3304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 Medical Parkway",
            "address_2": "Building B Suite 412",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "78613",
            "country_code": "US",
            "telephone_number": "512-409-9903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1502 Blue Ridge Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "TX",
            "postal_code": "786261002",
            "country_code": "US",
            "telephone_number": "512-409-9903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SADEH",
        "first_name": "MORTEZA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-19",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME183190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132161400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.