Individual provider Active NPI

Farideh A Arbabzadeh, MD

  • Internal Medicine Physician
  • Lake Mary, FL
National Provider Identifier
1891727434
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0074897 Issued in FL
Practice address
758 N Sun Dr
Suite# 104
Lake Mary, FL 32746-2599
Phone
(407) 333-3303
Fax
(407) 333-3342
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X ME0074897 FL
Internal Medicine Physician 207R00000X ME0074897 FL Primary

Addresses

Primary practice location

758 N Sun Dr
Suite# 104
Lake Mary, FL 32746-2599

Mailing address

758 N Sun Dr
Suite# 104
Lake Mary, FL 32746-2599
Phone (407) 333-3303

Other identifiers 1

IdentifierTypeStateIssuer
254124600MedicaidLA

Other names 1

  • Dr. Farideh A Zadeh Other name

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
I20101210000693 FL Practitioner - Internal Medicine 2567659295 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Sunstate Medical Associates PAGroup PAC ID 3779770409, 2 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

758 N Sun Dr
Suite 104
Lake Mary, FL 32746-2599
Phone (407) 333-3303

Hospital & facility affiliations

  • Mederi Caretenders Home health agency, Longwood, FL, CCN 108014
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Adventhealth Fish Memorial Hospital, Orange City, FL, CCN 100072
  • Orlando Health Hospital, Orlando, FL, CCN 100006
  • Adventhealth Deland Hospital, Deland, FL, CCN 100045

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0074897FLMDPublic Health or Welfare Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Sunstatemedical Associates PA Public Health Or Welfare CurrentSince Apr 1, 1999 Accepting new patients

Locations

758 N Sun Dr
Ste 104
Lake Mary, FL 32746
Phone (407) 333-3303

Organizations & group practices 1

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 7

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1891727434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "758 N SUN DR",
            "address_2": "SUITE# 104",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462599",
            "telephone_number": "407-333-3303",
            "fax_number": "407-333-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "758 N SUN DR",
            "address_2": "SUITE# 104",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462599",
            "telephone_number": "407-333-3303",
            "fax_number": "407-333-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARBABZADEH",
        "first_name": "FARIDEH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "FL",
            "license": "ME0074897",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0074897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254124600",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FARIDEH",
            "last_name": "ZADEH",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.