Individual provider Active NPI

Sajid Wazir Sipra, M.D.

  • Internal Medicine Physician
  • Kissimmee, FL
National Provider Identifier
1801040829
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 103428 Issued in FL
Practice address
461 W Oak St Ste a
Kissimmee, FL 34741-6624
Phone
(407) 846-8600
Fax
(407) 846-2301
NPI assigned
Nov 5, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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 ME 103428 FL Primary

Addresses

Primary practice location

461 W Oak St Ste a
Kissimmee, FL 34741-6624

Mailing address

461 W Oak St Ste a
Kissimmee, FL 34741-6624
Phone (407) 846-8600

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
I20100211000443 FL Practitioner - Internal Medicine 7517000664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5621 Strand Blvd
Suite 206
Naples, FL 34110-7303
Phone (239) 591-5979

Hospital & facility affiliations

  • Empath Home Health Home health agency, Fort Myers, FL, CCN 109786
  • Preferred Care Home Health Services Home health agency, Fort Myers, FL, CCN 109423
  • Renaissance at the Terraces Nursing home, Bonita Springs, FL, CCN 106104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 103428FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care FL Inc Internal Medicine Current Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Willowbrooke Court Skilled Care Center at the TerracesBonita Springs, FL, CCN 106104 Skilled nursing facility Adp of the SNF Nov 1, 2015
Aviata on EvansFort Myers, FL, CCN 106000 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Nov 16, 2023
Nov 16, 2023

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1801040829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 W OAK ST STE A",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347416624",
            "telephone_number": "407-846-8600",
            "fax_number": "407-846-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 W OAK ST STE A",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347416624",
            "telephone_number": "407-846-8600",
            "fax_number": "407-846-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIPRA",
        "first_name": "SAJID",
        "middle_name": "WAZIR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-05",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 103428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.