Individual provider Active NPI

Jenna Lindsey Caporaso Kazil, M.D.

  • Surgery Physician
  • Bradenton, FL
National Provider Identifier
1194968594
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME126038 Issued in FL
Practice address
701 Manatee Ave W
Suite 105
Bradenton, FL 34205-8604
Phone
(727) 787-4379
NPI assigned
Apr 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME126038 FL Primary

Addresses

Primary practice location

701 Manatee Ave W
Suite 105
Bradenton, FL 34205-8604

Mailing address

701 Manatee Ave W
Suite 105
Bradenton, FL 34205-8604
Phone (727) 787-4379

Other names 1

  • Jenna Lindsey Caporaso Former name

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
I20160912000926 FL Practitioner - Vascular SurgeryPractitioner - General Surgery 2769773423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
University of Pittsburgh School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Surgical Clinic LLCGroup PAC ID 7719273192, 3 clinicians

Practice addresses (Care Compare)

701 Manatee Ave W
Suite 105
Bradenton, FL 34205-8624
Phone (941) 592-9240

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Varicose vein removal24
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME126038FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Surgical Clinic LLC Surgery CurrentSince Jun 28, 2016 Accepting new patients
Integrative Surgical Associates, LLC Surgery Current Accepting new patients

Locations

701 Manatee Ave W
Ste 105
Bradenton, FL 34205
Phone (727) 787-4379

3909 Galen Ct
Ste 103
Sun City Center, FL 33573
Phone (727) 787-4379

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: kazilmd@fscl-fl.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

Hospital & facility affiliations 3

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": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471824000000",
    "number": "1194968594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 MANATEE AVE W",
            "address_2": "SUITE 105",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058604",
            "telephone_number": "727-787-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 MANATEE AVE W",
            "address_2": "SUITE 105",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058604",
            "telephone_number": "727-787-4379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZIL",
        "first_name": "JENNA",
        "middle_name": "LINDSEY CAPORASO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-14",
        "last_updated": "2016-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME126038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "CAPORASO",
            "middle_name": "LINDSEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.