Individual provider Active NPI

Ali N Wazni, M.D.

  • Family Medicine Physician
  • New Port Richey, FL
National Provider Identifier
1154646842
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME143057 Issued in FL
Practice address
4619 Little Rd
New Port Richey, FL 34655-1329
Phone
(800) 991-6117
Fax
(888) 812-8191
NPI assigned
Apr 6, 2010
Last updated
Oct 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME143057 FL Primary
Phlebology Physician 202K00000X ME143057 FL

Addresses

Primary practice location

4619 Little Rd
New Port Richey, FL 34655-1329

Mailing address

3820 Northdale Blvd Ste 201
Tampa, FL 33624-1893
Phone (800) 991-6117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, CO, AZ, FL4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20100922000826 MI Practitioner - Family Practice 7618093097 Reassigns benefits to 1 organization
I20160309000783 CO Practitioner - Family Practice 7618093097 Reassigns benefits to 1 organization
I20190522001955 AZ Practitioner - Family Practice 7618093097
I20251009001947 FL Practitioner - Family Practice 7618093097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3820 Northdale Blvd
Tampa, FL 33624-1893

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME143057FLMDPhlebology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wazni, PLLC CurrentSince Oct 1, 2025 Accepting new patients
New York Medical United PLLC Current Accepting new patients
Iha Health Services Corporation CurrentSince Jan 1, 2014 Accepting new patients
Colorado Medical Group, PLLC Family Medicine CurrentSince Nov 18, 2015 Accepting new patients
Iha Health Services Corporation Current Accepting new patients
Arizona Uvc Medical PLLC Current Accepting new patients
NJ Uvc Medical LLC CurrentSince May 12, 2023 Accepting new patients
Iha Health Service Corporation CurrentSince Jan 1, 2014 Accepting new patients
Colorado Medical Group, PLLC PastSince Oct 1, 2020 Accepting new patients

Locations

655 S Dobson Rd
Ste 216
Chandler, AZ 85224
Phone (480) 899-5530

1010 E McDowell Rd
Ste 103
Phoenix, AZ 85006
Phone (602) 254-4424

3805 E Bell Rd
Ste 4100
Phoenix, AZ 85032
Phone (602) 258-5748

5657 S Himalaya St
Ste 210
Centennial, CO 80015

6979 S Holly Cir
Ste 125
Centennial, CO 80112

100 Fillmore St
Fl 5
Denver, CO 80206
Phone (518) 817-1747

3535 S Lafayette St
Ste 100
Englewood, CO 80113
Phone (303) 761-7800

3665 John F Kennedy Pkwy
Bldg 200
Fort Collins, CO 80525

6179 S Balsam Way
Ste 200
Littleton, CO 80123
Phone (303) 933-2555

1551 Professional Ln
Unit 241
Longmont, CO 80501

9195 Grant St
Ste 300
Thornton, CO 80229
Phone (303) 280-2229

4619 Little Rd
New Pt Richey, FL 34655
Phone (727) 372-9918

295 NW Peacock Blvd
Port St Lucie, FL 34986

3609 Madaca Ln
Tampa, FL 33618
Phone (720) 253-3071

3657 Madaca Ln
Tampa, FL 33618

3810 Northdale Blvd
Ste 150
Tampa, FL 33624
Phone (813) 683-4784

3810 Northdale Blvd
Ste 260
Tampa, FL 33624

3820 Northdale Blvd
Ste 201
Tampa, FL 33624

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700

5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246

5325 Elliott Dr
Ste 203
Ypsilanti, MI 48197
Phone (734) 712-8020

Interoperability endpoints

  • Direct secure messaging: ali.wazni@uvvc.eclinicaldirectplus.com

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1154646842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 NORTHDALE BLVD STE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241893",
            "telephone_number": "800-991-6117",
            "fax_number": "888-850-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4619 LITTLE RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346551329",
            "telephone_number": "800-991-6117",
            "fax_number": "888-812-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAZNI",
        "first_name": "ALI",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-06",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME143057",
            "primary": true
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "FL",
            "license": "ME143057",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.