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Active NPI 1487747010 Individual Practitioner Male Practitioner

Dr. Nasimul Siddiqui , MD

Pediatrics • Windermere, FL

Professional Overview & Biography Verified Profile Summary

Dr. Nasimul Siddiqui, MD is a registered healthcare professional specializing in Pediatrics in Windermere, FL. Practice services are available at 11600 LAKESIDE VILLAGE LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11600 Lakeside Village Ln

Windermere, FL 347867024

Telephone 4078462273
Fax 4073473950
Associated Practice Facility / Clinic
🏢 Patel Medical Ventures Llc Facility NPI 1144668187

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Windermere, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.0 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Windermere, FL (4160 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-10-29
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL ME71809

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
251637300 (FL)
Commercial Insurance / Payer ID Fl Medicare
M6832 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Rachelle Mercado , ARNP

Nurse Practitioner - Family

NPI 1083884878

Advanced Registered Nurse Practitioner

Stephanie Antepara

Nurse Practitioner

NPI 1235688763
Veronica Dunfee , APRN

Nurse Practitioner - Family

NPI 1265997373

Advanced Practice Registered Nurse

NPI 1346416823

Doctor of Chiropractic

Erica Simplice , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1528868668

Nurse Practitioner

Nicole Colon

Nurse Practitioner - Family

NPI 1679904627

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location October 29, 2020

Registered at 11600 LAKESIDE VILLAGE LN, WINDERMERE, FL 347867024 (Tel: 4078462273)

📍
Updated Business Mailing Address October 29, 2020

Registered at 3300 S FISKE BLVD, ROCKLEDGE, FL 329554306 (Tel: 4078762273)

NPI Profile Active May 28, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location May 28, 2010

Registered at 431 W VINE ST, KISSIMMEE, FL 347414189 (Tel: 4078460044)

📍
Updated Business Mailing Address May 28, 2010

Registered at 431 W VINE ST, KISSIMMEE, FL 347414189 (Tel: 4078460044)

👤
Provider Name / Credentials Updated May 28, 2010

Recorded as NASIMUL SIDDIQUI, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2010

Pediatrics (License #ME71809 in FL)

🟢
Initial NPI Registration & Enumeration October 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487747010
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2006
Last Update: October 29, 2020
Sole Proprietor: No

Mailing Address

3300 S Fiske Blvd

Rockledge, FL 329554306

Phone: 4078762273

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.