Active NPI
Noushin Yazdani, D.O.
- General Practice Physician
- Palm Harbor, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- OS15528
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101890800 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Medical LLC | Current | Accepting new patients | |
| Ballout International PLLC | Current | Accepting new patients | |
| Conviva Medical Center Management LLC | General Practice | Current | Accepting new patients |
| Professional Health Care of Pinellas LLC | General Practice | Current | Accepting new patients |
| Professional Health Care of Pinellas Inc. | Current | 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
- https://fhir4.healow.com/fhir/r4/AGGJDD/Endpoint/AGGJDD
- https://fhir4.healow.com/fhir/r4/EIJHAA
- 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.
-
- Multi-Specialty Clinic/Center
- Palm Harbor, FL
- NPI 1851279665
-
- Internal Medicine Physician
- Vero Beach, FL
- NPI 1629554225
-
- Internal Medicine Physician
- Miami, FL
- NPI 1649324278
General Practice
-
- Chiropractor
- St Petersburg, FL
- NPI 1568970903
-
- Internal Medicine Physician
- St Petersburg, FL
- NPI 1881647253
General Practice
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.