Active NPI
Jacob Choi, D.O.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Odessa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- OS14195
- Practice address
- 2040 Short Ave
Odessa, FL 33556-3445 - Phone
- (727) 372-9922
- NPI assigned
- Dec 4, 2015
- Last updated
- Mar 22, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | OS14195 | FL | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | OS14195 | FL | Primary |
Addresses
Primary practice location
2040 Short Ave
Odessa, FL 33556-3445
Mailing address
7005 Nightwalker Rd
Weeki Wachee, FL 34613-6349
Phone (352) 556-2524
Other practice location 1
7005 Nightwalker Rd
Weeki Wachee, FL 34613-6349
Phone (352) 556-2524
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Sports and Orthopedic Rehabilitation Services Inc
Practice addresses (Care Compare)
5347 Main St
Suite 202
New Port Richey, FL 34652-2520
Phone (727) 841-0515
701 N W Shore Blvd
Tampa, FL 33609-1122
Phone (352) 556-2524
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS14195 | FL | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Farhan Siddiqi, MD PA | Single Specialty | Current | Accepting new patients |
| Farhan Siddiqi, MD PA | Single Specialty | Current | Accepting new patients |
Locations
2040 Short Ave
Odessa, FL 33556
Phone (727) 372-9922
11319 Cortez Blvd
Spring Hill, FL 34613
Phone (352) 556-2524
701 N West Shore Blvd
Tampa, FL 33609
Phone (352) 340-5935
7005 Nightwalker Rd
Weeki Wachee, FL 34613
Phone (352) 556-2524
Interoperability endpoints
- jacobchoi@tsce.allscriptsdirect.net
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.
-
- Orthopaedic Surgery of the Spine Physician
- Odessa, FL
- NPI 1750752291
Single Specialty
-
- Orthopaedic Surgery Physician
- Wesley Chapel, FL
- NPI 1003672700
Single Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth North Pinellas
- General Acute Care Hospital
- Tarpon Springs, FL
- NPI 1568473015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553212800000",
"number": "1942675764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7005 NIGHTWALKER RD",
"city": "WEEKI WACHEE",
"state": "FL",
"postal_code": "346136349",
"telephone_number": "352-556-2524",
"fax_number": "352-556-5465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040 SHORT AVE",
"city": "ODESSA",
"state": "FL",
"postal_code": "335563445",
"telephone_number": "727-372-9922"
}
],
"practiceLocations": [
{
"address_1": "7005 Nightwalker Rd",
"address_purpose": "LOCATION",
"city": "Weeki Wachee",
"state": "FL",
"postal_code": "346136349",
"country_code": "US",
"telephone_number": "352-556-2524",
"fax_number": "352-556-5465",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHOI",
"first_name": "JACOB",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-12-04",
"last_updated": "2019-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "FL",
"license": "OS14195",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "FL",
"license": "OS14195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Odessa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; 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.