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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SYED KHOOSHAL FAREEDUDDIN MD
NPI 1114852068
Student in an Organized Health Care Education/Training Program in Sebring, FL

Active since June 15, 2026PECOS Enrolled
4421 SUN N LAKE BLVD STE B, SEBRING, FL 33872(863) 402-3130 Get Directions Write a Review

NPPES record added: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Syed Khooshal Fareeduddin Md NPPES

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

SYED KHOOSHAL FAREEDUDDIN MD (NPI 1114852068) is an individual student in an organized health care education/training program in Sebring, Florida, licensed in Florida (45090) and active in the NPI registry since June 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114852068
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSYED KHOOSHAL FAREEDUDDINCredential: MD
Location Address4421 SUN N LAKE BLVD STE BSebring, FL 33872-2172
Mailing Address4421 Sun N Lake Blvd Ste BSebring, FL 33872-2172 · (863) 402-3130
Phone(863) 402-3130
Sole ProprietorNo
Enumeration DateJune 15, 2026
NPPES CertifiedJune 14, 2026
✔ NPI 1114852068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in FL · 45090
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4421 SUN N LAKE BLVD STE B, Sebring, FL 33872
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Syed Khooshal Fareeduddin 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.

Other Providers at the Same Location NPPES 6

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

SANA MURTAZA MD,MBBS
Student in an Organized Health Care Education/Training Program
4421 SUN N LAKE BLVD STE B
SEBRING, FL 33872
Highlands County (916) 873-0575
DR. SAMER SAADI MD
Student in an Organized Health Care Education/Training Program
4421 SUN N LAKE BLVD STE B
SEBRING, FL 33872
Highlands County (863) 402-3130
YAN YAN
Student in an Organized Health Care Education/Training Program
4421 SUN N LAKE BLVD STE B
SEBRING, FL 33872
Highlands County (863) 402-3130
SHREYAS KUNJIR MD
Student in an Organized Health Care Education/Training Program
4421 SUN N LAKE BLVD STE B
SEBRING, FL 33872
Highlands County (863) 402-3130
ANJALI GOVIND PATEL
Student in an Organized Health Care Education/Training Program
4421 SUN N LAKE BLVD STE B
SEBRING, FL 33872
Highlands County (863) 402-3130
DR. FABEHA ZAFAR MD
Internal Medicine
4421 SUN N LAKE BLVD STE B
SEBRING, FL 33872
Highlands County (937) 242-5560

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Syed Khooshal Fareeduddin's NPI number?

The NPI number for Syed Khooshal Fareeduddin is 1114852068. It was assigned to this individual provider in the NPPES registry on June 15, 2026.

Where is Syed Khooshal Fareeduddin located?

Syed Khooshal Fareeduddin practices at 4421 Sun N Lake Blvd Ste B, Sebring, FL 33872. The listed phone number is (863) 402-3130.

What is Syed Khooshal Fareeduddin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Syed Khooshal Fareeduddin enrolled in Medicare?

Yes. Syed Khooshal Fareeduddin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Syed Khooshal Fareeduddin was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.