Organization Active NPI

Imtiaz Kazi Family Practice, Inc.

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1033249032
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-06-6089-K Issued in OH
Legal business name
IMTIAZ KAZI FAMILY PRACTICE, INC.
Practice address
1460 S High St
Columbus, OH 43207-1047
Phone
(614) 445-7755
NPI assigned
Mar 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Imtiaz Kazi, M.D.
Title
Owner
Phone
(614) 445-7755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35-06-6089-K OH Primary

Addresses

Primary practice location

1460 S High St
Columbus, OH 43207-1047

Mailing address

200 Bradenton Ave
Dublin, OH 43017-7515
Phone (614) 793-1980

Other identifiers 1

IdentifierTypeStateIssuer
0970374MedicaidOH

National Provider Directory

National Provider Directory

Locations

1460 S High St
Columbus, OH 43207
Phone (614) 445-7755

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033249032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BRADENTON AVE",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430177515",
            "telephone_number": "614-793-1980",
            "fax_number": "614-793-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 S HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071047",
            "telephone_number": "614-445-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMTIAZ KAZI FAMILY PRACTICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAZI",
        "authorized_official_first_name": "IMTIAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-445-7755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-06-6089-K",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0970374",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.