Individual provider Active NPI

Noushin Yazdani, D.O.

  • General Practice Physician
  • Palm Harbor, FL
National Provider Identifier
1215318936
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
OS15528 Issued in FL
Practice address
2595 Tampa Rd Ste J
Palm Harbor, FL 34684-3131
Phone
(727) 221-5321
NPI assigned
Jun 18, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X OS15528 FL Primary

Addresses

Primary practice location

2595 Tampa Rd Ste J
Palm Harbor, FL 34684-3131

Mailing address

2595 Tampa Rd Ste J
Palm Harbor, FL 34684-3131
Phone (727) 221-5321

Other identifiers 1

IdentifierTypeStateIssuer
101890800MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address NYazdani@conviva.eclinicaldirectplus.com Direct

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
I20190220001698 FL Practitioner - Internal Medicine 1052659877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2595 Tampa Rd
Suite J
Palm Harbor, FL 34684-3131
Phone (727) 459-1842

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
First Medical LLC CurrentSince Oct 15, 2025 Accepting new patients
Ballout International PLLC CurrentSince Jul 13, 2025 Accepting new patients
Conviva Medical Center Management LLC General Practice CurrentSince Feb 6, 2023 Accepting new patients
Professional Health Care of Pinellas LLC General Practice CurrentSince Feb 1, 2019 Accepting new patients
Professional Health Care of Pinellas Inc. CurrentSince Feb 1, 2019 Accepting new patients

Locations (25 of 80)

3355 E Semoran Blvd
Apopka, FL 32703
Phone (407) 862-6263

1130 NW 15th St
Boca Raton, FL 33486
Phone (561) 394-6282

7900 Venture Center Way
Boynton Beach, FL 33437
Phone (561) 330-0111

2302 59th St W
Bradenton, FL 34209
Phone (941) 792-8480

3918 S Kings Ave
Brandon, FL 33511
Phone (813) 661-1535

2055 Palmetto St
Clearwater, FL 33765
Phone (727) 461-6613

1100 N Pine St
Clearwater, FL 33756
Phone (727) 442-7106

1775 Hooks St
Clermont, FL 34711
Phone (352) 717-7980

37300 Royal Oak Ln
Dade City, FL 33525
Phone (352) 567-3122

37135 Coleman Ave
Dade City, FL 33525
Phone (352) 567-8615

5430 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3188

870 Patricia Ave
Dunedin, FL 34698
Phone (727) 734-8861

7173 Cypress Dr
Fort Myers, FL 33907
Phone (239) 936-0203

8041 State Road 52
Hudson, FL 34667
Phone (727) 862-9559

5238 Norwood Ave
#16
Jacksonville, FL 32208
Phone (904) 265-2050

5075 Innovation Way
Jupiter, FL 33458
Phone (561) 935-3002

4405 Lakewood Rd
Lake Worth Beach, FL 33461
Phone (561) 630-9321

4240 Lakeland Highlands Rd
Lakeland, FL 33813
Phone (863) 607-5948

3370 NW 47th Ter
Lauderdale Lakes, FL 33319
Phone (954) 733-0655

251 E Florida Ave
Melbourne, FL 32901
Phone (321) 725-3900

2680 Croton Rd
Melbourne, FL 32935
Phone (321) 255-4783

1420 Oak St
Melbourne, FL 32901
Phone (321) 326-2300

101 E Florida Ave
Melbourne, FL 32901
Phone (321) 233-4028

3033 Sarno Rd
Melbourne, FL 32934
Phone (321) 243-8593

1100 S Courtenay Pkwy
Merritt Island, FL 32952
Phone (321) 269-4240

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGGJDD/Endpoint/AGGJDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/EIJHAA
  • Direct secure messaging: nyazdani@conviva.eclinicaldirectplus.com

Organizations & group practices 5

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": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1215318936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2595 TAMPA RD STE J",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843131",
            "telephone_number": "727-221-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 TAMPA RD STE J",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843131",
            "telephone_number": "727-221-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAZDANI",
        "first_name": "NOUSHIN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-18",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS15528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101890800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NYazdani@conviva.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1840 Mease Dr Ste 401B",
            "city": "Safety Harbor",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346956606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.