Individual provider Active NPI

Kareem Qaisi, DO

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Tampa, FL
National Provider Identifier
1023647377
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
OS18332 Issued in FL
Practice address
6920 N Dale Mabry Hwy
Tampa, FL 33614-3931
Phone
(813) 212-1120
NPI assigned
Apr 7, 2020
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X OS18332 FL Primary

Addresses

Primary practice location

6920 N Dale Mabry Hwy
Tampa, FL 33614-3931

Mailing address

6920 N Dale Mabry Hwy
Tampa, FL 33614-3931
Phone (813) 212-1120

Other practice location 1

625 E Twiggs St Ste 103
Tampa, FL 33602-3910
Phone (813) 228-7696

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231116001967 FL Practitioner - Physical Medicine and Rehabilitation 4385091081 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Campbell Univ School of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitation and Electrodiagnostics PAGroup PAC ID 1153364955, 31 clinicians
The Performance Lab, LLCGroup PAC ID 2769951136, 5 clinicians

Practice addresses (Care Compare)

625 E Twiggs St
Suite 103
Tampa, FL 33602-3910
Phone (813) 228-7696

6920 N Dale Mabry Hwy
Tampa, FL 33614-3931
Phone (813) 212-1120

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
The Performance Lab LLC Physical Medicine & Rehabilitation CurrentSince Sep 14, 2025 Accepting new patients
Rehabilitation and Electrodiagnostics PA Physical Medicine & Rehabilitation CurrentSince Nov 1, 2023 Accepting new patients
Columbia Anesthesia Services, LLC Past Accepting new patients

Locations

3651 Cortez Rd W
Ste 100
Bradenton, FL 34210
Phone (813) 228-7696

2914 N Boulevard
Tampa, FL 33602
Phone (813) 228-7696

625 E Twiggs St
Ste 103
Tampa, FL 33602
Phone (813) 228-7696

6920 N Dale Mabry Hwy
Tampa, FL 33614
Phone (813) 212-1120

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1023647377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143931",
            "telephone_number": "813-212-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143931",
            "telephone_number": "813-212-1120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 E Twiggs St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336023910",
            "country_code": "US",
            "telephone_number": "813-228-7696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QAISI",
        "first_name": "KAREEM",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-07",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "OS18332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.