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ABUL FAZAL SIDDIQUI
NPI 1356081467
Internal Medicine in Lakeland, FL

Active since March 29, 2022PECOS EnrolledAccepts Medicare Assignment
4315 HIGHLAND PARK BLVD STE A, LAKELAND, FL 33813(813) 651-1085 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Abul Fazal Siddiqui NPPES

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

ABUL FAZAL SIDDIQUI (NPI 1356081467) is an individual internal medicine provider in Lakeland, Florida, licensed in Florida (OS21326) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with South Florida Baptist Hospital, and is a graduate of Lake Erie College Of Osteopathic Medicine, Bradenton (2022).

NPPES Registry Identity

NPI1356081467
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameABUL FAZAL SIDDIQUI
Location Address4315 HIGHLAND PARK BLVD STE ALakeland, FL 33813-1639
Mailing Address4315 Highland Park Blvd Ste ALakeland, FL 33813-1639 · (813) 681-1085
Phone(813) 651-1085
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, BradentonGraduated 2022
Enumeration DateMarch 29, 2022
Last NPPES UpdateAugust 18, 2025
NPPES CertifiedAugust 18, 2025
✔ NPI 1356081467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · OS21326
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4315 HIGHLAND PARK BLVD STE A, Lakeland, FL 33813
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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 and accepts Medicare assignment

Abul Fazal Siddiqui is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628459054
PECOS Enrollment IDI20250826000540
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

South Florida Baptist Hospital

Acute Care Hospitals · Plant City, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100132
Location301 N Alexander StPlant City, FL 33563 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33813 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

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

SUKHMANI KAUR CHAUHAN MD
Hospitalist
4315 HIGHLAND PARK BLVD STE A
LAKELAND, FL 33813
Polk County (863) 816-5884
MR. JOSE GABRIEL REINOSO MD
Internal Medicine
4315 HIGHLAND PARK BLVD STE A
LAKELAND, FL 33813
Polk County (727) 669-3800
ABDUL MUKHTADIR KALAIGER
Internal Medicine
4315 HIGHLAND PARK BLVD STE A
LAKELAND, FL 33813
Polk County (813) 651-1085
SUZANNE MARIE RODRIGUEZ FNP-C
Nurse Practitioner (Family)
4315 HIGHLAND PARK BLVD STE A
LAKELAND, FL 33813
Polk County (863) 816-5884
KATHERINE MARIE TILSON ARNP
Nurse Practitioner
4315 HIGHLAND PARK BLVD STE A
LAKELAND, FL 33813
Polk County (863) 816-5884
DR. JORGE L CHAVEZ MD
Family Medicine
4315 HIGHLAND PARK BLVD STE A
LAKELAND, FL 33813
Polk County (863) 689-7934
ADVANCED CARE HOSPITALISTS PL
Hospitalist
4315 HIGHLAND PARK BLVD STE A
LAKELAND, FL 33813
Polk County (863) 816-5884
SHERONDA R BROOKS APRN
Nurse Practitioner (Family)
4315 HIGHLAND PARK BLVD STE A
LAKELAND, FL 33813
Polk County (863) 816-5884

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 Abul Siddiqui's NPI number?

The NPI number for Abul Siddiqui is 1356081467. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Where is Abul Siddiqui located?

Abul Siddiqui practices at 4315 Highland Park Blvd Ste A, Lakeland, FL 33813. The listed phone number is (813) 651-1085.

What is Abul Siddiqui's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Abul Siddiqui enrolled in Medicare?

Yes. Abul Siddiqui is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Abul Siddiqui affiliated with any hospitals?

According to CMS data, Abul Siddiqui is affiliated with South Florida Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Abul Siddiqui was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.