SAADIA FERSOBE MD
NPI 1013170893
General Practice in Kissimmee, FL

Q: What is Saadia Fersobe's NPI number?

The NPI number for Saadia Fersobe is 1013170893. It was assigned to this individual provider in the NPPES registry on July 2, 2008.

Q: What is Saadia Fersobe's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Saadia Fersobe was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 02, 2008PECOS Enrolled

804 EMMETT ST, KISSIMMEE, FL 34741(407) 749-0380(407) 569-4149 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Feb 1, 2016 (2 updates tracked since 2016).

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About Saadia Fersobe Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAADIA FERSOBE MD (NPI 1013170893) is an individual general practice provider in Kissimmee, Florida, licensed in Florida (ACN684) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Kissimmee.

NPPES Registry Identity

NPI1013170893

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameSAADIA FERSOBECredential: MD

Location Address804 EMMETT STKissimmee, FL 34741-5434

Mailing Address13403 Fairway Glen Dr, Apt 102Orlando, FL 32824-5026 · (646) 243-8363

Phone(407) 749-0380

Fax(407) 569-4149

Sole ProprietorNo

Enumeration DateJuly 2, 2008

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1013170893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in FL · ACN684

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

804 EMMETT ST, Kissimmee, FL 34741

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Secondary Practice Location 1

Location 1833 E Oak StKissimmee, FL 34744-5838 · Phone (321) 422-4866 · Fax (407) 369-4652

Other Identifiers 2

Medicaid00665274NY

OtherACN684FL · Florida License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Saadia Fersobe Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier11 claims11 services$3.84 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

QUALITY LIFE HEALTH CENTER INC.

Clinic/Center (Health Service)

804 EMMETT ST, SUITE A
KISSIMMEE, FL 34741

Osceola County (407) 504-5019

DR. ABNER JOSE GABALDON

General Practice