Individual provider Active NPI

Nazneen Hyder Noorani, MD

  • Family Medicine Physician
  • Riverview, FL
National Provider Identifier
1942386750
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
109615 Issued in FL
Practice address
10924 Bloomingdale Ave
Riverview, FL 33578-3633
Phone
(813) 571-1111
Fax
(813) 571-1120
NPI assigned
Oct 27, 2006
Last updated
May 1, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME109615 FL
Family Medicine Physician 207Q00000X 109615 FL Primary

Addresses

Primary practice location

10924 Bloomingdale Ave
Riverview, FL 33578-3633

Mailing address

10924 Bloomingdale Ave
Riverview, FL 33578-3633
Phone (813) 571-1111

Other practice location 1

4320 Bell Shoals Rd
Valrico, FL 33596-7171
Phone (813) 571-1111

Other practice location 2

4320 Bell Shoals Rd
Valrico, FL 33596-7171
Phone (813) 571-1111

Other identifiers 1

IdentifierTypeStateIssuer
006100300MedicaidFL

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
I20120801000862 FL Practitioner - Family Practice 6103827605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Noorani Medical Center, LLCGroup PAC ID 5496901704, 4 clinicians

Practice addresses (Care Compare)

10924 Bloomingdale Ave
Riverview, FL 33578-3633
Phone (813) 571-1111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
109615FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Noorani Medical Center LLC CurrentSince Jun 12, 2012 Accepting new patients
Complete Family Healthcare LTD Family Medicine PastSince May 1, 2013 Accepting new patients

Locations

4320 Bell Shoals Rd
Valrico, FL 33596
Phone (813) 504-9409

Networks

  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21705/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nazneen.noorani@nrmc.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1942386750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10924 BLOOMINGDALE AVE",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335783633",
            "telephone_number": "813-571-1111",
            "fax_number": "813-571-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10924 BLOOMINGDALE AVE",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335783633",
            "telephone_number": "813-571-1111",
            "fax_number": "813-571-1120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4320 Bell Shoals Rd",
            "address_purpose": "LOCATION",
            "city": "Valrico",
            "state": "FL",
            "postal_code": "335967171",
            "country_code": "US",
            "telephone_number": "813-571-1111",
            "fax_number": "813-571-1120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4320 Bell Shoals Rd",
            "address_purpose": "LOCATION",
            "city": "Valrico",
            "state": "FL",
            "postal_code": "335967171",
            "country_code": "US",
            "telephone_number": "813-571-1111",
            "fax_number": "813-571-1120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOORANI",
        "first_name": "NAZNEEN",
        "middle_name": "HYDER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME109615",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "109615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006100300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.