Atif Ahmed Siddique, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS18123 Issued in FL

Practice address

3305 US Highway 98 S
Lakeland, FL 33803-8365

Phone

(863) 777-2740

NPI assigned

Jun 19, 2018

Last updated

Mar 2, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Internal Medicine

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

University Medical Service Association IncGroup PAC ID 6800790221, 818 clinicians

Melvin M. Seek, MD, PAGroup PAC ID 0749565281, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tampa General Hospital Hospital, Tampa, FL, CCN 100128
• HCA Florida North Florida Hospital Hospital, Gainesville, FL, CCN 100204
• H Lee Moffitt Cancer Center & Research Institute I Hospital, Tampa, FL, CCN 100271
• HCA Florida Lake City Hospital Hospital, Lake City, FL, CCN 100156

Merit-based Incentive Payment System (MIPS)

Final score

90.05 of 100Reported as group

Quality

65.11

Improvement activities

40

Cost

80.03

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22535/brand/1/csg/1/fhir/r4

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.

• Melvin M. Seek, MD, PA

  dba North Florida Kidney Care

  • Nephrology Physician
  • Palatka, FL
  • NPI 1043756539
  Medicare reassignment Care Compare group NPD
• University Medical Service Association Inc

  • Physical Therapist
  • Tampa, FL
  • NPI 1992742324
  Medicare reassignment Care Compare group
• Sunshine Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Lakeland, FL
  • NPI 1457733743
  NPD
• Sunshine Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Tampa, FL
  • NPI 1871343053
  NPD
• University Medical Service Association Inc

  • Durable Medical Equipment & Medical Supplies
  • Tampa, FL
  • NPI 1194276576
  NPD
• University Medical Service Association Inc

  • General Practice Physician
  • Tampa, FL
  • NPI 1326088295

  Internal Medicine

  NPD

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

• Florida Health Sciences Center Inc

  dba Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1235196510
  Care Compare affiliation
• H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc.

  • Special Hospital
  • Tampa, FL
  • NPI 1780653618
  Care Compare affiliation
• North Florida Regional Medical Center, Inc.

  dba HCA Florida North Florida Hospital

  • General Acute Care Hospital
  • Gainesville, FL
  • NPI 1174579155
  Care Compare affiliation
• Notami Hospitals of Florida Inc

  dba HCA Florida Lake City Hospital

  • General Acute Care Hospital
  • Lake City, FL
  • NPI 1992751879
  Care Compare affiliation

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1912491200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 LAKE CHARLES CIR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 US HIGHWAY 98 S",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338038365",
            "telephone_number": "863-777-2740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Davis Blvd Ste 308",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336063438",
            "country_code": "US",
            "telephone_number": "813-974-2201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 N Wall St",
            "address_purpose": "LOCATION",
            "city": "Kankakee",
            "state": "IL",
            "postal_code": "609012991",
            "country_code": "US",
            "telephone_number": "815-928-6274 x6274",
            "fax_number": "815-928-6266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDIQUE",
        "first_name": "ATIF",
        "middle_name": "AHMED",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-19",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS18123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Si, MD
• Mario Bation Siasoyco, RN
• Severo Bation Siasoyco II, P.T.
• Juliet Sicca
• Monte R Sichelman, MD
• Abul Fazal Siddiqui
• Kelly E. Sidler, PTA22900
• Alexander Michael Sidor, MD
• Debbie B Sieber, LMT
• Tracy Lynn Siebold, APRN

• Internal Medicine Physician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.