Individual provider Active NPI

Jacob Choi, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Odessa, FL
National Provider Identifier
1942675764
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
OS14195 Issued in FL
Practice address
2040 Short Ave
Odessa, FL 33556-3445
Phone
(727) 372-9922
NPI assigned
Dec 4, 2015
Last updated
Mar 22, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161208000876 FL Practitioner - Family PracticePractitioner - Sports Medicine 9234419292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
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 IncGroup PAC ID 0840104253, shared by 4 NPIs, 314 clinicians
Farhan Siddiqi MD PAGroup PAC ID 4284936113, 14 clinicians

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

LicenseStateTypeSpecialty
OS14195FLMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Farhan Siddiqi, MD PA Single Specialty CurrentSince Mar 15, 2017 Accepting new patients
Farhan Siddiqi, MD PA Single Specialty CurrentSince Mar 15, 2017 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.