Active NPI
Narges Mazloom, D.O.
- Facial Plastic Surgery Physician
- Daytona Beach, FL
National Provider Identifier
1003012642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- OS13202
- Practice address
- 103 Memorial Medical Pkwy Ste 125
Daytona Beach, FL 32117-5672 - Phone
- (386) 274-0250
- Fax
- (386) 274-0269
- NPI assigned
- Jun 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | OS13202 | FL | Primary |
Addresses
Primary practice location
103 Memorial Medical Pkwy Ste 125
Daytona Beach, FL 32117-5672
Mailing address
11945 San Jose Blvd Ste 300
Jacksonville, FL 32223-1627
Phone (904) 396-1725
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
501 Live Oak St
New Smyrna Beach, FL 32168-7300
Phone (386) 274-0250
Hospital & facility affiliations
- Adventhealth Daytona Beach
- Adventhealth New Smyrna Beach
- AdventHealth Palm Coast
- Adventhealth Deland
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.79 of 100
- Quality
- 64.42
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.88
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Ear Nose & Throat PA | Current | Accepting new patients | |
| North Florida Surgeons, PA | Current | Accepting new patients | |
| North Florida Surgeons, PA | Current | Accepting new patients | |
| Florida ENT Associates, Inc. | Otolaryngology | Past | Accepting new patients |
Locations
103 Memorial Medical Pkwy
Ste 125
Daytona Beach, FL 32117
Phone (386) 274-0250
11945 San Jose Blvd
Ste 300
Jacksonville, FL 32223
11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937
501 Live Oak St
New Smyrna Beach, FL 32168
Phone (386) 274-0250
1050 W Granada Blvd
Ste 4
Ormond Beach, FL 32174
Phone (386) 677-8808
1185 Dunlawton Ave
Ste 102
Port Orange, FL 32127
Phone (386) 760-6601
Networks
- Optimum HealthCare HMO Network
- FL HMO
- FL PPO
- Freedom Health HMO Network
- devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
- FL HMO D-SNP
Interoperability endpoints
- nmazloom@coastalentpa.emadirect.md
- narges.mazloom.1@9109.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Jacksonville, FL
- NPI 1912953290
-
- Specialist
- Ormond Beach, FL
- NPI 1265417729
-
- Orthopaedic Surgery Physician
- Gulf Breeze, FL
- NPI 1871442053
-
- Otolaryngology Physician
- West Miami, FL
- NPI 1184625733
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Daytona Beach, FL
- NPI 1063426823
-
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1679678486
-
- General Acute Care Hospital
- Deland, FL
- NPI 1649367269
-
- General Acute Care Hospital
- New Smyrna Beach, FL
- NPI 1871977942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1003012642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11945 SAN JOSE BLVD STE 300",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322231627",
"telephone_number": "904-396-1725",
"fax_number": "904-396-4893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 MEMORIAL MEDICAL PKWY STE 125",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321175672",
"telephone_number": "386-274-0250",
"fax_number": "386-274-0269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZLOOM",
"first_name": "NARGES",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-21",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "FL",
"license": "OS13202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.