Individual provider Active NPI

Faryal Sonia Siddiqui, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Melbourne, FL
National Provider Identifier
1942561659
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
ME129366 Issued in FL
Practice address
8745 N Wickham Rd
Melbourne, FL 32940-5997
Phone
(407) 303-2528
NPI assigned
May 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X ME129366 FL Primary
Hospitalist Physician 208M00000X ME129366 FL
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

8745 N Wickham Rd
Melbourne, FL 32940-5997

Mailing address

8745 N Wickham Rd
Melbourne, FL 32940-5997
Phone (407) 303-2528

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
I20170605000066 FL Practitioner - Pediatric Medicine 5092082529 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME129366FLMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Sep 8, 2025 Accepting new patients
The Nemours Foundation Current Accepting new patients
The Nemours Foundation CurrentSince Apr 1, 2017 Accepting new patients
The Nemours Foundation CurrentSince Apr 1, 2017 Accepting new patients
Florida Hospital Medical Group Inc Hospitalist CurrentSince Sep 8, 2025 Accepting new patients

Locations

807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

6535 Nemours Pkwy
Orlando, FL 32827
Phone (407) 567-4000

8745 N Wickham Rd
Viera, FL 32940
Phone (321) 434-7191

Interoperability endpoints

  • Direct secure messaging: fsiddiqui159197@epicdirect.hf.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1942561659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8745 N WICKHAM RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329405997",
            "telephone_number": "407-303-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8745 N WICKHAM RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329405997",
            "telephone_number": "407-303-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "FARYAL",
        "middle_name": "SONIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "FL",
            "license": "ME129366",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME129366",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.