NPIMap

Organization Active NPI

Florida Infectious Disease Consultants P.a

  • Infectious Disease Physician
  • Kissimmee, FL
National Provider Identifier
1952410573
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME 75997 Issued in FL
Legal business name
FLORIDA INFECTIOUS DISEASE CONSULTANTS P.A
Practice address
201 Hilda St
Suite # 23
Kissimmee, FL 34741-2320
Phone
(407) 944-4900
Fax
(407) 483-0688
NPI assigned
Aug 29, 2006
Last updated
Sep 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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

Authorized official

Name
Dr. Shoaib Anwer Siddiqui, M.DNPI 1609079649
Title
President
Phone
(321) 229-3505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X ME 75997 FL Primary

Addresses

Primary practice location

201 Hilda St
Suite # 23
Kissimmee, FL 34741-2320

Mailing address

10407 Emerald Woods Ave
Orlando, FL 32836-5971
Phone (321) 229-3505

Other identifiers 4

IdentifierTypeStateIssuer
48924OtherFLBLUE CROSS BLUE SHIELD
001634100MedicaidFL
258319400MedicaidFL
440002971OtherFLTRICARE

National Provider Directory

National Provider Directory

Locations

201 Hilda St
Ste 23
Kissimmee, FL 34741
Phone (407) 793-2795

700 W Oak St
#308
Kissimmee, FL 34741
Phone (407) 944-4900

720 W Oak St
Ste 308
Kissimmee, FL 34741
Phone (407) 343-8101

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410220800000",
    "number": "1952410573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10407 EMERALD WOODS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328365971",
            "telephone_number": "321-229-3505",
            "fax_number": "407-386-9836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HILDA ST",
            "address_2": "SUITE # 23",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347412320",
            "telephone_number": "407-944-4900",
            "fax_number": "407-483-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA INFECTIOUS DISEASE CONSULTANTS P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2014-09-09",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "SHOAIB",
        "authorized_official_middle_name": "ANWER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-229-3505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME 75997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "48924",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001634100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258319400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "440002971",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.