Individual provider Active NPI

Nazimuddin Ahmed Qazi, MD

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1083705552
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME98807 Issued in FL
Practice address
13000 Bruce B Downs Blvd
Jah VA Medical Center, Ambulatory Care Division
Tampa, FL 33612-4745
Phone
(813) 972-2000
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA05589500 NJ
Internal Medicine Physician 207R00000X ME98807 FL Primary

Addresses

Primary practice location

13000 Bruce B Downs Blvd
Jah VA Medical Center, Ambulatory Care Division
Tampa, FL 33612-4745

Mailing address

9716 Sorbonne Loop
Seffner, FL 33584-2640
Phone (908) 510-6288

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
I20200323001875 FL Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 4789616905

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA05589500NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Biodiagnostic Laboratory Services,LLC. Past Accepting new patients
The Heart Center of the Oranges Internal Medicine Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1083705552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9716 SORBONNE LOOP",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335842640",
            "telephone_number": "908-510-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 BRUCE B DOWNS BLVD",
            "address_2": "JAH VA MEDICAL CENTER, AMBULATORY CARE DIVISION",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336124745",
            "telephone_number": "813-972-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QAZI",
        "first_name": "NAZIMUDDIN",
        "middle_name": "AHMED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05589500",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME98807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.