Individual provider Active NPI

Yusif Addae, M.D

  • Obstetrics & Gynecology Physician
  • Sarasota, FL
National Provider Identifier
1841493459
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2009-02083 Issued in NC
Practice address
2200 Ringling Blvd
Sarasota, FL 34237-6102
Phone
(941) 650-4598
Fax
(941) 861-2719
NPI assigned
Jun 9, 2007
Last updated
Jan 28, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2009-02083 NC Primary

Addresses

Primary practice location

2200 Ringling Blvd
Sarasota, FL 34237-6102

Mailing address

2200 Ringling Blvd
Sarasota, FL 34237-6102
Phone (941) 650-4589

Other identifiers 1

IdentifierTypeStateIssuer
0044239MedicaidFL

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
I20120215000946 FL Practitioner - Obstetrics/Gynecology 0042340739 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SMH Physician Services IncGroup PAC ID 1355240177, 781 clinicians

Practice addresses (Care Compare)

1700 S Tamiami TRL
Sarasota, FL 34239-3509
Phone (941) 917-7760

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health CurrentSince Feb 10, 2012 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Oct 26, 2013 Accepting new patients
SMH Physician Services Inc Obstetrics & Gynecology CurrentSince Nov 1, 2021 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
Florida Department of Health CurrentSince Feb 10, 2012 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Oct 26, 2013 Accepting new patients
Florida Department of Health Current Accepting new patients

Locations

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

6950 Outreach Way
North Port, FL 34287
Phone (941) 529-0200

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565

2200 Ringling Blvd
Sarasota, FL 34237
Phone (941) 861-2900

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: yusif.addae.1@16972.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1181347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1841493459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 RINGLING BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342376102",
            "telephone_number": "941-650-4589",
            "fax_number": "941-861-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 RINGLING BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342376102",
            "telephone_number": "941-650-4598",
            "fax_number": "941-861-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADDAE",
        "first_name": "YUSIF",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-09",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2009-02083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0044239",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.